IndividualActive
Charles Mahan, PHARMD, PHC, RPH
NPI 1366522666 · Pharmacotherapy Pharmacist · Albuquerque, NM
Provider details
- NPI number
- 1366522666
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD, PHC, RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- RP6003, PC107 (NM)
Practice location
601 Dr Martin Luther King Jr Ave Ne
Albuquerque, NM 87102-3619
Phone: (505) 727-8877
Fax: (505) 727-9269
Mailing address
13215 Russian Sage Ct Ne
Albuquerque, NM 87111-8270
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.