Provider Demographics
NPI:1730140039
Name:EUSTICE, RHONDA SUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:SUE
Last Name:EUSTICE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9415 JILL PATRICIA ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-5705
Mailing Address - Country:US
Mailing Address - Phone:928-369-8313
Mailing Address - Fax:
Practice Address - Street 1:1760 GRANDE BLVD SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1754
Practice Address - Country:US
Practice Address - Phone:505-896-7233
Practice Address - Fax:505-994-4285
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV142791835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care