Organization
PARKHURST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL PARKHURST (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
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00001150
NM
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3202366
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
55103
—
NM
Enumeration date
08/10/2006
Last updated
09/11/2025
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