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Individual

ANADELIA MARIA GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4955 S JACKSON RD, EDINBURG, TX 78539-7228
(956) 393-2000
Mailing address
125 W IRIS AVE, MCALLEN, TX 78501-9450

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30842
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183500000X
TXPMP AWARE
TX
Enumeration date
01/29/2020
Last updated
01/29/2020
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