FOUR CORNERS COMPOUNDING
Suppliers at 30 St, Farmington, NM

License number
New Mexico PH00003239
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: DR. CRAIG BURGESS
Title: PHARMACIST
Phone: (505) 327-4826
Address
Address
2300 E 30Th St STE B-101, Farmington, NM 87401
National Provider ID: 1326463936
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FOUR CORNERS COMPOUNDING at bizstanding.com

FOUR CORNERS COMPOUNDING LLC

Farmington, NM

Status:
Inactive
Industry:
Nonclassifiable Establishments
Registration:
Oct 8, 2010
Addresses:
2300-B East 30 St SUITE 101  , Farmington, NM 87401 (Mailing)
2300 E 30 St, Farmington, NM 87401
State ID:
4358974
Business type:
Domestic Limited Liability Company
Organizer, Principals:
Stephen K. Burgess (Organizer),Craig M. Burgess Organizer, Principal, inactive

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