Provider Demographics
NPI:1649312059
Name:MCNEW, TOBYN J (RPH)
Entity type:Individual
Prefix:
First Name:TOBYN
Middle Name:J
Last Name:MCNEW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S CANAL ST
Mailing Address - Street 2:PHARMACY
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220
Mailing Address - Country:US
Mailing Address - Phone:505-628-0637
Mailing Address - Fax:505-628-3223
Practice Address - Street 1:1301 S CANAL ST
Practice Address - Street 2:PHARMACY
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220
Practice Address - Country:US
Practice Address - Phone:505-628-0637
Practice Address - Fax:505-628-3223
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist