| NPI | 1659425593 |
|---|---|
| Doing Business As | NORTE VISTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD D ROBINSON Pharmacist 505-392-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NM PH00001155) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001155) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |