Four Corners Compounding
NPI #1326463936 in Farmington, New Mexico
Provider Information
- NPI Number
- 1326463936
- Entity Type
- Organization
- Organization Name
- Four Corners Compounding
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 19, 2014
- Last Updated
- Feb 19, 2014
Practice Location
- Address
- 2300 E 30TH ST STE B-101
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-8991
- Phone
- (505) 327-4826
Authorized Official
- Name
- DR. CRAIG BURGESS
- Title
- PHARMACIST
- Phone
- (505) 327-4826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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