Provider Demographics
NPI:1659425593
Name:ROBINSON BROTHERS, INC.
Entity Type:Organization
Organization Name:ROBINSON BROTHERS, INC.
Other - Org Name:NORTE VISTA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:505-392-6516
Mailing Address - Street 1:2420 N FOWLER ST
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-2347
Mailing Address - Country:US
Mailing Address - Phone:505-392-6516
Mailing Address - Fax:505-392-8236
Practice Address - Street 1:2420 N FOWLER ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-2347
Practice Address - Country:US
Practice Address - Phone:505-392-6516
Practice Address - Fax:505-392-8236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPH00001155333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM58230Medicaid
NM3207215OtherNCPDP PHARMACY ID
NM3207215OtherNCPDP PHARMACY ID