Organization
LONESTAR RX LAS MILPAS
Active
Other names
MAC PHARMACY SERVICE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO CARRANZA (OWNER)
(956) 514-5051
Entity
Organization
Contact information
Practice address
6901 S CAGE BLVD, STE F, PHARR, TX 78577-8675
(956) 702-3491
Mailing address
365 N MISSOURI AVE, MERCEDES, TX 78570-2657
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4546365
OTHER ID NUMBER
—
Enumeration date
11/27/2007
Last updated
11/27/2007
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