# VELACORP PHARMACISTS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Juan Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639270770
- **Authorized official:** MR. JOHN AGEUDO RODRIGUEZ R. PH (OWNER)
- **Authorized official phone:** (956) 782-6337

## Contact information

- **Practice address:** 1205 N RAUL LONGORIA RD, SUITE F, SAN JUAN, TX 78589-3720
- **Practice address phone:** (956) 782-6337
- **Practice address fax:** (956) 588-4314
- **Mailing address:** 1205 N RAUL LONGORIA RD, SUITE F, SAN JUAN, TX 78589-3720
- **Mailing address phone:** (956) 782-6337
- **Mailing address fax:** (956) 588-4314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 04/08/2011