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 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / 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
Phone: (505) 287-4641

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH00001150 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1659382208
LBN Legal business name Parkhurst Pharmacy
DBA Doing business as
Authorized official Parkhurst, Phil
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1659382208 NPPES
Other 3202366 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 55103 OTHER ID NUMBER-COMMERCIAL NUMBER

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