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Organization
YODORINCMISSIONPLAZAPHARMACY
Active
Organization
YODORINCMISSIONPLAZAPHARMACY
Active
Other names
MISSION PLAZA PHARMACY, YODOR INC.MISSION PLAZA PHARMACY, YODOR INC. MISSION PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORA G ESPINOZA (VP, SECRETARY, PHARMACIST)
(956) 581-8833
Entity
Organization
Contact information
Practice address
906 S BRYAN RD STE 101A, MISSION, TX 78572-6605
(956) 581-8833
(956) 581-0364
Mailing address
1611 HERITAGE LN, MISSION, TX 78572-4529
(956) 581-8833
(956) 581-0364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15042
TX
332B00000X
Durable Medical Equipment & Medical Supplies
148627
TX
333600000X
Pharmacy
Primary
148627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013987502
—
TX
05
—
013987503
—
TX
01
—
0818070001
CMS
TX
05
—
148627
—
TX
01
—
183500000X
PHARMACIST
TX
01
—
332B00000X
TAXONOMY DME
TX
01
—
333600000X
TAXONOMY PHARMACY
TX
01
—
4581547
NABP
TX
Enumeration date
04/17/2006
Last updated
06/26/2024
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