Provider Demographics
NPI:1710208392
Name:MORROW, CANDICE MARIE (PHC)
Entity type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:MARIE
Last Name:MORROW
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Gender:F
Credentials:PHC
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Mailing Address - Street 1:933 BRADBURY DR SE
Mailing Address - Street 2:SUITE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4374
Mailing Address - Country:US
Mailing Address - Phone:505-272-4400
Mailing Address - Fax:505-925-7662
Practice Address - Street 1:1209 UNIVERSITY BLVD NE
Practice Address - Street 2:FAMILY PRACTICE/ INTERNAL MEDICINE CLINIC
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1727
Practice Address - Country:US
Practice Address - Phone:505-272-4400
Practice Address - Fax:505-925-7662
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2012-06-26
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Provider Licenses
StateLicense IDTaxonomies
NMPC000001741835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist