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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES EDWARD MAHAN III, PHARMD, PHC, RPH

Active Sole Proprietor

DR. CHARLES EDWARD MAHAN III, PHARMD, PHC, RPH is a Pharmacotherapy Specialist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1366522666 is currently active in the NPPES registry. Verify at CMS.

Pharmacotherapy Specialist · ALBUQUERQUE, NM

Registration Details

NPI Number
1366522666
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2006 (19.638903602623 yrs)
Last Updated
Jul 8, 2007
License
RP6003, PC107 (NM)
Sole Proprietor
Yes

Practice Information

Address
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM, 871023619
Browse NM providers · Browse ZIP 87102
Phone
5057278877
Fax
5057279269
Primary Specialty
Pharmacotherapy Specialist
1835P1200X

Other Pharmacotherapy Specialist Providers in ALBUQUERQUE, NM

Name Credential NPI
DR. ELIZABETH D PEREA PHARM D., PHC 1750384673
DR. PAMELA WALTON MCCOY PHARMD 1619964293
DR. ANN DAO NAWARSKAS PHARMD, CDE, PA 1013907161
DR. CATHERINE J CONE PHARMD, BCPS 1538150453
JUSTINA M VIGIL RPH 1275524910
NORM SMITH PHARMD PHC 1689646580
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.