Organization
CANALES MEDICAL SERVICES LLC
Active
Organization
CANALES MEDICAL SERVICES LLC
Active
Other names
FRED'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARLO CANALES BS (OWNER/PIC/AO)
(956) 487-2711
Entity
Organization
Contact information
Practice address
2790 PHARMACY RD, STE A, RIO GRANDE CITY, TX 78582-6546
(956) 487-2711
(956) 487-6399
Mailing address
2790 PHARMACY RD, STE A, RIO GRANDE CITY, TX 78582-6546
(956) 487-2711
(956) 487-6399
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148240
—
TX
01
—
2151598
PK
—
Enumeration date
02/09/2015
Last updated
02/04/2025
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