Organization
M.A.M.T., LLC
Active
Other names
Med-Aid Pharmacy-Mission
Organization subpart
No
Provider details
NPI number
Authorized official
NIDIA VILLARREAL (MEMBER)
(956) 581-5646
Entity
Organization
Contact information
Practice address
1022 E GRIFFIN PKWY STE 103, MISSION, TX 78572-2401
(956) 581-5646
(956) 581-8038
Mailing address
1022 E GRIFFIN PKWY STE 103, MISSION, TX 78572-2401
(956) 581-5646
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144780
—
TX
Enumeration date
10/19/2006
Last updated
02/04/2008
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