Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Phillip Daniel O'Bourke, PHARMD

Individual provider Pharmacist · NPI 1164773446

Mr. Phillip Daniel O'Bourke, PHARMD is a Pharmacist in Gallup, New Mexico. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0000036561 (TN)

Record details

NPI number1164773446
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedSeptember 26, 2012
Last updated in NPPESSeptember 26, 2012
Mailing address500 Lacima Rd, Gallup, NM 87301-5739

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