Individual provider · Type 1 NPI
Grant Sudholt, RPH
Pharmacist · Edgewood, NM
Practice location
66 State Road 344
Edgewood, NM 87015-6849
Mailing address
PO Box 1673
Sandia Park, NM 87047-1673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | RP6453 (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…
3 other providers at this address
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- Michael HamiltonPharmacist Edgewood, NM NPI 1104202886
- Adamatta Mudada, PharmDPharmacist Edgewood, NM NPI 1114649951
- Annajita Anderson, PharmDPharmacist Edgewood, NM NPI 1114744737
- Helen J. Weldon, RPHPharmacist Edgewood, NM NPI 1174748727
- John Robert Alvis, R.PH.Pharmacist Edgewood, NM NPI 1275935793
- Reid Rowe, RPHPharmacist Edgewood, NM NPI 1356566590
- Robert Andrews Jr., RPHPharmacist Edgewood, NM NPI 1427366327
About NPI 1649689191
Grant Sudholt, RPH's National Provider Identifier is 1649689191, issued on Aug 8, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Edgewood, NM. The record was last updated on Aug 8, 2014.