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.
|Practice Location||275 Central Ave # A, Tularosa, NM 88352-2009, US|
|Practice Location Phone||575-585-2772|
|Practice Location Fax||575-585-2777|
|Legal Business Name||DILLARD B IRBY|
|Other Organization Name||PROFESSIONAL PHARMACY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jan 30, 2007|
|Last Update Date ?||Apr 12, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers||Community/Retail Pharmacy||PH00001186||New Mexico|
|Provider Id||Issuer State||Issuer Type||Issuer|
|3207758||Other||NCPDP PROVIDER IDENTIFICATION NUMBER|
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/Position||PHARMACIST AND OWNER|
|Authorized Official Phone Number||575-585-2772|