Provider Demographics
NPI:1164602702
Name:SILVA, FRANCISCO (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:SILVA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SANDIA MOUNTAIN RANCH DR
Mailing Address - Street 2:
Mailing Address - City:TIJERAS
Mailing Address - State:NM
Mailing Address - Zip Code:87059-7367
Mailing Address - Country:US
Mailing Address - Phone:505-286-6264
Mailing Address - Fax:
Practice Address - Street 1:108 SANDIA MOUNTAIN RANCH DR
Practice Address - Street 2:
Practice Address - City:TIJERAS
Practice Address - State:NM
Practice Address - Zip Code:87059-7367
Practice Address - Country:US
Practice Address - Phone:505-286-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist