Organization
MICHAEL'S PRESCRIPTION CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RABURN RPH (OWNER/PHARMACIST)
(575) 394-2311
Entity
Organization
Contact information
Practice address
1024 MAIN, EUNICE, NM 88231
(575) 394-2311
Mailing address
PO BOX 189, EUNICE, NM 88231-0189
(575) 394-2311
(575) 394-0429
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61826227
—
NM
Enumeration date
02/20/2014
Last updated
03/21/2022
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