NPI 1326463936

Four Corners Compounding

Organisation Community/Retail Pharmacy Farmington, NM

Practice location

Address: 2300 E 30th St STE B-101, Farmington, NM 87401-8991
Phone: (505) 327-4826

Authorised official

Name: Craig Burgess
Title: Pharmacist
Phone: (505) 327-4826

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PH00003239 (NM)

Other Pharmacy providers in New Mexico →

Registry record

NPI: 1326463936
Entity type: Organization
NPI issued: 19 Feb 2014
Record last updated: 19 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.