Provider Demographics
NPI:1144450297
Name:SANCHEZ, RANDI LYNNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:LYNNE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 CENTRAL AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-8800
Mailing Address - Country:US
Mailing Address - Phone:505-831-4641
Mailing Address - Fax:505-831-1564
Practice Address - Street 1:6600 CENTRAL AVE SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-8800
Practice Address - Country:US
Practice Address - Phone:505-831-4641
Practice Address - Fax:505-831-1564
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist