| NPI | 1598966798 |
|---|---|
| Doing Business As | NEW MEXICO BEHAVIORAL HEALTH INSTITUE AT LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | DAN SMITH Pharmacy Director 505-454-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: NM PH00002105) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-10-04 |