Organization
VALLEY BAPTIST PHARMACY SERVICES
Active
Other names
Central Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E. EASTHAM (EXECUTIVE VICE PRESIDENT, COO)
(956) 389-1620
Entity
Organization
Contact information
Practice address
864 CENTRAL BLVD., STE. 1200, BROWNSVILLE, TX 78520
(956) 544-0100
(956) 544-0151
Mailing address
2101 PEASE STREET, HARLINGEN, TX 78550
(956) 389-1620
(956) 389-1026
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4530057
NCPDP
TX
Enumeration date
05/03/2007
Last updated
08/22/2020
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