Organization
VALLEYWIDE PHARMACY AND DME INC
Active
Organization
VALLEYWIDE PHARMACY AND DME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABAYOMI ANTHONY GEORGE (MANAGER)
(956) 423-1426
Entity
Organization
Contact information
Practice address
680 PAREDES LINE RD, SUITE B, BROWNSVILLE, TX 78521
(956) 372-1405
Mailing address
680 PAREDES LINE RD, SUITE B, BROWNSVILLE, TX 78521-2482
(956) 372-1405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
3336C0003X
Community/Retail Pharmacy
Primary
31880
TX
Other
Enumeration date
08/06/2014
Last updated
09/30/2020
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