Individual provider · Type 1 NPI

Jed Lyden, RP

Pharmacist · Albuquerque, NM

NPI number 1174096085 Active

Practice location

112 Monroe St NE
Albuquerque, NM 87108-1247

Fax (505) 260-0754

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP00006503 (NM)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1174096085

Jed Lyden, RP's National Provider Identifier is 1174096085, issued on Jan 3, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 5, 2021.