Most Relevant Information
Provider Data
| NPI Number: | 1003339748 |
| Provider Name: | BRYANNA M VAIO |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP00008725 |
Most Important Dates
| Enumeration Date: | 07/25/2017 |
| Last Updated: | 07/25/2017 |
Provider Practice Location
460 NM HWY 528
BERNALILLO
NM
87004
Practice Location Phone/Fax
| Phone: | 5057714877 |
| Fax: |
Provider Mailing Location
4903 PARSIFAL ST NE
ALBUQUERQUE
NM
871112542
Provider Mailing Phone/Fax
| Phone: | 5052697885 |
| Fax: |