PHILLIP DANIEL O'BOURKE

GALLUP, NM
NPI1164773446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  0000036561)
Enumeration Date2012-09-26
Last Update Date2012-09-26
Business Address
Mr. PHILLIP DANIEL O'BOURKE Pharm. D.
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
Mr. PHILLIP DANIEL O'BOURKE Pharm. D.
500 LACIMA RD
GALLUP, NM 87301-5739
Phone number: 423-957-1649