Individual
PHIL PARKHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1208 BONITA ST, GRANTS, NM 87020-2234
(505) 287-4641
(505) 287-7160
Mailing address
1208 BONITA ST, GRANTS, NM 87020-2234
(505) 287-4641
(505) 287-7160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3174
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3202366
NCPDP
—
05
—
55103
—
NM
05
—
T3340
—
NM
Enumeration date
12/28/2006
Last updated
07/09/2007
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