Parkhurst, Phil
Parkhurst, Phil is an sole proprietor health care provider with primary practice located at 1208 Bonita St , Grants NM 87020-2234. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Parkhurst, Phil can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 3174 | New Mexico |
Profile Details
| NPI number | 1154487635 |
|---|---|
| LBN Legal business name | Parkhurst, Phil |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154487635 | NPPES |
| New Mexico | MEDICAID | 55103 | |
| New Mexico | MEDICAID | T3340 | |
| New Mexico | Other | 3202366 |
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