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Organization
VIDA Y SALUD HEALTH SYSTEMS INC
Active
Organization
VIDA Y SALUD HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON LOPEZ (CHIEF FINANCE OFCR)
(830) 374-2301
Entity
Organization
Contact information
Practice address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(830) 374-2301
(830) 374-3364
Mailing address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
07032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4514798
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/11/2006
Last updated
07/20/2007
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