Individual
DR. KEVIN PAUL MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, PHC, BCPS
Contact information
Practice address
U.S. HIGHWAY 491 NORTH, PHARMACY DEPARTMENT, SHIPROCK, NM 87420-0160
(505) 368-7266
(505) 368-7262
Mailing address
PO BOX 160, PHARMACY DEPARTMENT, SHIPROCK, NM 87420-0160
(505) 368-7266
(505) 368-7262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00070717
WA
183500000X
Pharmacist
RP00007971
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000217
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00070717
WA
1835P1200X
Pharmacotherapy Pharmacist
PH 00070717
WA
Other
Enumeration date
08/03/2010
Last updated
12/22/2013
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