Organization
FARMINGTON DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MCKINNEY (OWNER)
(505) 325-1855
Entity
Organization
Contact information
Practice address
507 E 20TH ST, FARMINGTON, NM 87401-2105
(505) 325-1855
(505) 327-3415
Mailing address
507 E 20TH ST, FARMINGTON, NM 87401-2105
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH00002581
NM
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3200425
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
55756
—
NM
Enumeration date
12/18/2006
Last updated
09/11/2025
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