EDEN PHARMACY LLC NPI 1043197080

NPI Information

  • NPI: 1043197080
  • Provider Name: EDEN PHARMACY, LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Address: 8300 CARMEL AVE NE STE 601
    ALBUQUERQUE, NM
    ZIP 87122
  • Phone: (505) 677-8842

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NPI Details

EDEN PHARMACY, LLC is a compounding pharmacy pharmacy in Albuquerque, NM. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. EDEN PHARMACY, LLC NPI is 1043197080. The provider is registered as an organization entity type.

The provider's business location address is:

8300 CARMEL AVE NE STE 601
ALBUQUERQUE, NM
ZIP 87122-125
Phone: (505) 677-8842
Fax: (505) 717-1539

The provider's authorized official is Pete Sedillo .
The authorized official title is Pharmacist In Charge, Pharmd and has the following contact phone number (505) 677-8842.

The enumeration date for this NPI number is 8/20/2025 and was last updated on 9/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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