Organization
HEALTHVILLE PHARMACY LLC
Active
Organization
HEALTHVILLE PHARMACY LLC
Active
Other names
HEALTHVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE KELVIN BUSARI (PHARMACY MANAGER)
(956) 701-3349
Entity
Organization
Contact information
Practice address
7215 MCPHERSON RD, LAREDO, TX 78041-6554
(956) 701-3349
(956) 701-3497
Mailing address
7215 MCPHERSON RD, LAREDO, TX 78041-6554
(956) 701-3349
(956) 701-3497
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/28/2023
Last updated
11/29/2023
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