Organization
TURQUOISE, LTD
Active
Other names
DEL NORTE PHARMACY & HOME MEDICAL OF RATON
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STOGNER (CFO)
(903) 893-0677
Entity
Organization
Contact information
Practice address
955 S 2ND ST, RATON, NM 87740-2301
(505) 445-3131
Mailing address
PO BOX 2407, SHERMAN, TX 75091-2407
(903) 893-0677
(903) 893-3639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH2393
NM
333600000X
Pharmacy
PH2393
NM
3336C0003X
Community/Retail Pharmacy
Primary
PH2393
NM
3336C0004X
Compounding Pharmacy
PH2393
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00080225
—
NM
05
—
N9425
—
NM
Enumeration date
12/15/2005
Last updated
07/06/2010
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