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Organization
MERMAID WALKING INC
Active
Organization
MERMAID WALKING INC
Active
Other names
Divine Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE G VARGAS CPHT (VICE-PRESIDENT)
(956) 534-6990
Entity
Organization
Contact information
Practice address
409 W FM 495, SAN JUAN, TX 78589-3717
(956) 601-0140
(833) 998-4116
Mailing address
409 W FM 495, SAN JUAN, TX 78589-3717
(956) 601-0140
(833) 998-4116
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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