IndividualActive
Ashok Pothula
NPI 1679338586 · Compounded Sterile Preparations Pharmacist · Albuquerque, NM
Provider details
- NPI number
- 1679338586
- Entity type
- Individual
- Primary specialty
- Compounded Sterile Preparations PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RP00008473 (NM)
Practice location
717 Encino Pl Ne Ste 1
Albuquerque, NM 87102-2621
Phone: (505) 243-3777
Fax: (505) 212-0888
Mailing address
717 Encino Pl Ne Ste 1
Albuquerque, NM 87102-2621
Registry dates
- Enumerated
- 2024-02-20
- Last updated
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.