Organization
CONQUEST PLAZA PHARMACY LLC.
Active
Organization
CONQUEST PLAZA PHARMACY LLC.
Active
Other names
CONQUEST PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANDRA SCOTT (COMPLIANCE OFFICER)
(832) 454-2848
Entity
Organization
Contact information
Practice address
308 CONQUEST BLVD., EDINBURG, TX 78539
(956) 287-2882
(956) 287-2896
Mailing address
PO BOX 1047, RICHMOND, TX 77406-0027
(956) 287-2882
(956) 287-2896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150109
—
TX
01
—
2098718
PK
—
Enumeration date
10/19/2006
Last updated
03/20/2020
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