Provider Demographics
NPI:1184108094
Name:SEDILLO, PETE JOSEPH III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PETE
Middle Name:JOSEPH
Last Name:SEDILLO
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6801 AVENIDA LA COSTA NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4021
Mailing Address - Country:US
Mailing Address - Phone:505-948-6584
Mailing Address - Fax:
Practice Address - Street 1:2100 LOUISIANA BLVD NE STE 460
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-5437
Practice Address - Country:US
Practice Address - Phone:505-705-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMRP00008984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist