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Dillard B Irby

Dillard B Irby is a health care provider in Tularosa, NM. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 275 Central Ave # A, Tularosa, NM 88352-2009, US
Practice Location Phone575-585-2772
Practice Location Fax575-585-2777
Legal Business NameDILLARD B IRBY
Other Organization NamePROFESSIONAL PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1902942519
Entity TypeOrganization
Enumeration Date ? Jan 30, 2007
Last Update Date ? Apr 12, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Dillard B Irby

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy PH00001186New Mexico

legacy-id-icon Legacy Provider IDs of Dillard B Irby

Provider IdIssuer StateIssuer TypeIssuer
3207758OtherNCPDP PROVIDER IDENTIFICATION NUMBER
63255New MexicoMedicaid

official-icon Authorized Official of Dillard B Irby

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Dillard B Irby's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dillard Irby (RPH)
Authorized Official Title/PositionPHARMACIST AND OWNER
Authorized Official Phone Number575-585-2772