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Organization
LOS EBANOS PHARMACY NORTH,LLC
Active
Organization
LOS EBANOS PHARMACY NORTH,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. DE LACHICA SR. R.PH. (OWNER)
(956) 572-1332
Entity
Organization
Contact information
Practice address
1134 E. LOS EBANOS BLVD., STE A, BROWNSVILLE, TX 78520-8797
(956) 542-8542
(956) 542-0044
Mailing address
1134 E. LOS EBANOS BLVD., STE A, BROWNSVILLE, TX 78520-8797
(956) 542-8542
(956) 542-0044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
19281
TX
Other
Enumeration date
06/22/2005
Last updated
11/18/2015
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