# LA BLANCA PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619193596
- **Authorized official:** RAFAEL RICARDO LOPEZ R.PH. (PRRESIDENT)
- **Authorized official phone:** (956) 262-7662

## Contact information

- **Practice address:** 18360 FM 493 STE. B, LA BLANCA, TX 78558
- **Practice address phone:** (956) 262-7662
- **Practice address fax:** (956) 262-7627
- **Mailing address:** 2801 S PECAN BLVD, DONNA, TX 78537-6553
- **Mailing address phone:** (956) 262-7662
- **Mailing address fax:** (856) 262-7627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 23203 | TX | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 02/17/2012
