Organization
PEOPLES PREFERRED PHARMACY LLC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE VELA (HR DIRECTOR)
(956) 723-2911
Entity
Organization
Contact information
Practice address
3620 N ARKANSAS AVE STE E, LAREDO, TX 78043-1116
(956) 729-0311
(956) 753-2954
Mailing address
819 CORPUS CHRISTI ST, LAREDO, TX 78040-5261
(956) 723-2911
(956) 723-5555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4522420005
MEDICARE PTAN
TX
01
—
5903338
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/17/2011
Last updated
02/26/2013
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