Provider Demographics
NPI:1114121191
Name:SIMINSKI, FRIEDA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FRIEDA
Middle Name:
Last Name:SIMINSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 LOUISIANA BLVD NE STE 601
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4390
Mailing Address - Country:US
Mailing Address - Phone:505-200-0411
Mailing Address - Fax:
Practice Address - Street 1:2440 LOUISIANA BLVD NE STE 601
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4390
Practice Address - Country:US
Practice Address - Phone:505-200-0411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5553183500000X
TX28198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist