Organization
AG HEALTH GROUP LLC
Active
Other names
Laredo Home Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SAENZ (DIRECTOR OF PHARMACY)
(956) 794-8350
Entity
Organization
Contact information
Practice address
2503 SPRINGFIELD AVE, LAREDO, TX 78040-4034
(956) 794-8350
(956) 794-8352
Mailing address
2503 SPRINGFIELD AVE, LAREDO, TX 78040-4034
(956) 794-8350
(956) 794-8352
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26290
TX
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4551520
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/08/2008
Last updated
11/19/2010
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