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Organization
LA BLANCA PHARMACY INC.
Active
Organization
LA BLANCA PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL RICARDO LOPEZ R.PH. (PHARMACIST IN CHARGE)
(956) 262-7662
Entity
Organization
Contact information
Practice address
18360 FM 493 SUITE B., LA BLANCA, TX 78558
(956) 262-7662
(956) 262-7662
Mailing address
2801 S PECAN BLVD, DONNA, TX 78537-6553
(956) 262-7662
(956) 262-7662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24529
TX
Other
Enumeration date
06/27/2006
Last updated
08/22/2020
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