Organization
MEDIRX II LTD
Active
Organization
MEDIRX II LTD
Active
Other names
MEDINAS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELINO MEDINA RPH (PRESIDENT)
(956) 702-9009
Entity
Organization
Contact information
Practice address
1044 ACACIA AVE, ALAMO, TX 78516-2401
(956) 702-9009
(956) 702-0246
Mailing address
1044 ACACIA AVE, ALAMO, TX 78516-2401
(956) 702-9009
(956) 702-0246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145860
—
TX
01
—
4546492
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/20/2007
Last updated
02/07/2011
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