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Organization

DE LA ROSA PHARMACY INC

Active
Parent organization
DE LAROSA PHARMACY INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DE LAROSA PHARMACY INC
Authorized official
HECTOR EFRAIN DELAROSA (CEO OWNER)
(956) 968-8995
Entity
Organization

Contact information

Practice address
524 W 2ND ST, MERCEDES, TX 78570-2602
(956) 565-0251
(956) 565-0252
Mailing address
524 W 2ND ST, MERCEDES, TX 78570-2602
(956) 565-0251
(956) 565-0252

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22986
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156352001
TX
05
156352002
TX
01
22986
STATE LICENSE
TX
01
4533180
NABP
TX
Enumeration date
05/16/2007
Last updated
01/14/2010
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