Provider Demographics
NPI:1033305222
Name:VIGIL, MONICA MARTINEZ (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MARTINEZ
Last Name:VIGIL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CORNELL BUILDING 73 ROOM 21
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-5904
Mailing Address - Country:US
Mailing Address - Phone:505-277-6306
Mailing Address - Fax:505-873-6407
Practice Address - Street 1:300 CORNELL BUILDING 73 ROOM 21
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-5904
Practice Address - Country:US
Practice Address - Phone:505-277-6306
Practice Address - Fax:505-277-0286
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM5567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist