Organization
PHARMPLEX LTD II
Active
Other names
EDINBURG FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NOE PEREZ (OWNER)
(956) 393-2000
Entity
Organization
Contact information
Practice address
4955 S JACKSON RD, EDINBURG, TX 78539-7228
(956) 393-2000
(956) 393-2010
Mailing address
4955 S JACKSON RD, EDINBURG, TX 78539-7228
(956) 393-2000
(956) 393-2010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24101
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145540
—
TX
01
—
2097191
PK
—
Enumeration date
01/02/2006
Last updated
04/10/2014
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