| NPI | 1992781553 |
|---|---|
| Doing Business As | DEL NORTE PHARMACY & HOME MEDICAL OF RATON |
| Entity Type | Organization |
| Authorized Contact | JOHN STOGNER CFO 903-893-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM ph2393) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NM ph2393) |
| 333600000X Pharmacy (Licence: NM PH2393) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM ph2393) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2010-07-06 |