Organization
MOMS PHARMACIES INC
Active
Other names
MOMS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA AGUILERA PHARM D (PRESIDENT/OWNER)
(956) 227-9417
Entity
Organization
Contact information
Practice address
2990 N TEXAS BLVD STE B, WESLACO, TX 78596-9696
(956) 447-9933
(956) 447-9993
Mailing address
PO BOX 4226, MCALLEN, TX 78502-4226
(956) 447-9933
(956) 447-9993
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
20760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145053
—
TX
01
—
4517984
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/01/2005
Last updated
04/21/2011
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