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Organization

SAN RAPHEL PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCO CARRANZA (PRESIDENT)
(956) 463-3001
Entity
Organization

Contact information

Practice address
1337 EAST PALMA VISTA DRIVE SUITE B, PALM VIEW, TX 78539
(956) 514-0955
Mailing address
365 N MISSOURI AVE, MERCEDES, TX 78570-2657

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
24396
TX
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4540022
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/11/2006
Last updated
09/11/2025
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