Provider Demographics
NPI:1497362214
Name:FARMERS PHARMACY MARKET LLC
Entity Type:Organization
Organization Name:FARMERS PHARMACY MARKET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:575-361-6841
Mailing Address - Street 1:2402 W PIERCE ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-3568
Mailing Address - Country:US
Mailing Address - Phone:575-885-2979
Mailing Address - Fax:575-885-5714
Practice Address - Street 1:501 W 18TH ST # 7233
Practice Address - Street 2:
Practice Address - City:PORTALES
Practice Address - State:NM
Practice Address - Zip Code:88130-7233
Practice Address - Country:US
Practice Address - Phone:575-361-6841
Practice Address - Fax:575-885-5714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy