IndividualActive
Jason Boberg
NPI 1235817289 · Pharmacotherapy Pharmacist · Albuquerque, NM
Provider details
- NPI number
- 1235817289
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RP00008913 (NM)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Phone: (505) 272-7697
Approximate (ZIP-level) locationGet directions
Mailing address
6308 Alpenglow Trl Ne
Albuquerque, NM 87113-3401
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-07-10
- Certified
- 2023-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.