Organization
LA POPULAR PHARMACY 2 LLC
Active
Other names
Lifecare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL GOTTIMUKKALA (OWNER)
(973) 885-0060
Entity
Organization
Contact information
Practice address
102 N. PINE ST, HEBBRONVILLE, TX 78361
(361) 527-3231
(361) 527-5574
Mailing address
102 N. PINE ST, HEBBRONVILLE, TX 78361
(361) 527-3231
(361) 527-5574
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
28488
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146761
—
TX
01
—
2139700
PK
—
Enumeration date
04/03/2013
Last updated
09/02/2025
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