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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