Whalio Doctors

NPI 1942615570

Presbyterian Healthcare Services

Organisation Community/Retail Pharmacy Clovis, NM

Practice location

Address
2401 W. 21st St, Clovis, NM 88101
Phone
(575) 769-7680
Fax
(575) 769-7156

Authorised official

Name
Kimberly Poland
Title
Provider Enrollment Manager
Phone
(505) 923-5355

Registered specialties

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PH00003710 (NM)

Registry record

NPI
1942615570
Entity type
Organization
NPI issued
23 Jun 2014
Record last updated
21 Jul 2022

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.