Organization
YODORINCMISSIONPLAZAPHARMACY
Active
Other names
MISSION PLAZA PHARMACY, YODOR INC.MISSION PLAZA PHARMACY, YODOR INC. MISSION PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORA G ESPINOZA (VP, SECRETARY, PHARMACIST)
(956) 581-8833
Entity
Organization
Contact information
Practice address
906 S BRYAN RD STE 101A, MISSION, TX 78572-6605
(956) 581-8833
(956) 581-0364
Mailing address
1611 HERITAGE LN, MISSION, TX 78572-4529
(956) 581-8833
(956) 581-0364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15042
TX
332B00000X
Durable Medical Equipment & Medical Supplies
148627
TX
333600000X
Pharmacy
Primary
148627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013987502
—
TX
05
—
013987503
—
TX
01
—
0818070001
CMS
TX
05
—
148627
—
TX
01
—
183500000X
PHARMACIST
TX
01
—
332B00000X
TAXONOMY DME
TX
01
—
333600000X
TAXONOMY PHARMACY
TX
01
—
4581547
NABP
TX
Enumeration date
04/17/2006
Last updated
06/26/2024
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