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NPI Code Detail

MEDICARE: MR. KENNETH L. HARGUES RPH

MEDICARE:  MR. KENNETH L. HARGUES  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist4248NM

General Provider Information

NPI Number : 1083612956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KENNETH L. HARGUES RPH
Provider Business Mailing Address
First Line : PO BOX 3034
Second Line :
City : CARLSBAD
State : NM
Zip : 88221-3034
Country : US
Telephone Number : 575-628-0700
Fax Number : 575-885-2095
Provider Business Practice Location Address
First Line : 701 W CHURCH ST
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-5137
Country : US
Telephone Number : 575-628-0700
Fax Number : 575-885-2095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 02/16/2015

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Directions to “ MR. KENNETH L. HARGUES RPH” Practice Location

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