# PHARMACY STATION DME LLC

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

## Provider details

- **NPI number:** 1689430787
- **Authorized official:** JOSE A VELA (ADMINISTRATOR)
- **Authorized official phone:** (956) 398-6573

## Contact information

- **Practice address:** 640 S EXPRESSWAY 77 STE 1A, RAYMONDVILLE, TX 78580-4241
- **Practice address phone:** (956) 398-6573
- **Mailing address:** 1242 E BUS 83 STE 7, MISSION, TX 78572-9308

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 02/26/2024