Organization
LOS EBANOS PHARMACY NORTH,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. DE LACHICA SR. R.PH. (OWNER)
(956) 572-1332
Entity
Organization
Contact information
Practice address
1134 E. LOS EBANOS BLVD., STE A, BROWNSVILLE, TX 78520-8797
(956) 542-8542
(956) 542-0044
Mailing address
1134 E. LOS EBANOS BLVD., STE A, BROWNSVILLE, TX 78520-8797
(956) 542-8542
(956) 542-0044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
19281
TX
Other
Enumeration date
06/22/2005
Last updated
11/18/2015
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