Organization
PARKHURST PHARMACY
Active
Other names
PARKHURST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL PARKHURST RPH (PHARMACIST OWNER)
(505) 287-4641
Entity
Organization
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
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00001150
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3202366
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
55103
—
NM
05
—
T3340
—
NM
Enumeration date
01/31/2007
Last updated
12/28/2012
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