Provider Demographics
NPI:1427467513
Name:TEMKIN, COLLEEN (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:
Last Name:TEMKIN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10224 COORS BY PASS NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114
Mailing Address - Country:US
Mailing Address - Phone:505-897-6935
Mailing Address - Fax:505-899-0897
Practice Address - Street 1:10224 COORS BY PASS NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114
Practice Address - Country:US
Practice Address - Phone:505-897-6935
Practice Address - Fax:505-899-0897
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist