| NPI | 1821416751 |
|---|---|
| Other Name | NORTE VISTA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RABURN Owner 575-392-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00003659) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2022-03-18 |