Organization
GUERRA PHARMACY INC
Active
Other names
ABC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AROLSA MENDIOLA (OWNER)
(956) 584-9828
Entity
Organization
Contact information
Practice address
1618 N CONWAY AVE, MISSION, TX 78572-4004
(956) 584-9828
(956) 584-9458
Mailing address
1618 N CONWAY AVE, MISSION, TX 78572-4004
(956) 584-9828
(956) 584-9458
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149855201
—
TX
05
—
149855203
—
TX
01
—
4505256
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/25/2007
Last updated
03/23/2010
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