IndividualActive
Adamatta Mudada, PHARMD
NPI 1114649951 · Pharmacist · Edgewood, NM
Provider details
- NPI number
- 1114649951
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RP00009741 (NM)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5 Walker Rd
Edgewood, NM 87015-8786
Phone: (505) 281-0950
Approximate (ZIP-level) locationGet directions
Mailing address
12900 Carrie Pl Se
Albuquerque, NM 87123-3804
Registry dates
- Enumerated
- 2022-09-19
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.