Professional Pharmacy

LBN: Dillard B Irby
Professional Pharmacy is an health care organization with primary practice located at 275 Central Ave # A , Tularosa NM 88352-2009. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dillard B Irby can be contacted via phone (575) 585-2772, or through Irby, Dillard via phone (575) 585-2772.

Contact Information

Primary practice address
275 Central Ave # A Tularosa NM 88352-2009
Phone: (575) 585-2772
Fax: (575) 585-2777
Website:
Map and Directions
Authorized official contact:
Name: Irby, Dillard RPH
Phone: (575) 585-2772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00001186 New Mexico

Profile Details

NPI number 1902942519
LBN Legal business name Dillard B Irby
DBA Doing business as Professional Pharmacy
Authorized official Irby, Dillard RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902942519 NPPES
Other 3207758 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 63255 NCPDP PROVIDER IDENTIFICATION NUMBER

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