IndividualActive
Charles Vandiver, R.PH., PH.C.
NPI 1306861166 · Pharmacotherapy Pharmacist · Santa Fe, NM
Provider details
- NPI number
- 1306861166
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- R.PH., PH.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PC00000033 (NM)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1422 Paseo De Peralta
Santa Fe, NM 87501-4391
Phone: (505) 289-3291
Fax: (505) 289-3648
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 307
Angel Fire, NM 87710-0307
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.