Parkhurst Pharmacy

LBN: Parkhurst Pharmacy
Parkhurst Pharmacy is an health care organization with primary practice located at 1208 Bonita St , Grants NM 87020-2234. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Parkhurst Pharmacy can be contacted via phone (505) 287-4641, or through Parkhurst, Phil via phone (505) 287-4641.

Contact Information

Primary practice address
1208 Bonita St Grants NM 87020-2234
Phone: (505) 287-4641
Fax: (505) 287-7160
Website:
Map and Directions
Authorized official contact:
Name: Parkhurst, Phil RPH
Phone: (505) 287-4641

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00001150 New Mexico

Profile Details

NPI number 1427195148
LBN Legal business name Parkhurst Pharmacy
DBA Doing business as Parkhurst Pharmacy
Authorized official Parkhurst, Phil RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 28th, 2012 - about 14 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 1427195148 NPPES
Other 3202366 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 55103 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID T3340 NCPDP PROVIDER IDENTIFICATION NUMBER

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