Organization
HARVESTFIELD PHARMACY INC
Active
Other names
HarvestField Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWALE LAWAL (MANAGER)
(956) 568-4208
Entity
Organization
Contact information
Practice address
201 W DEL MAR BLVD STE 1B, LAREDO, TX 78041-2238
(956) 568-4208
(956) 568-4213
Mailing address
201 W DEL MAR BLVD STE 1B, LAREDO, TX 78041-2238
(956) 568-4208
(956) 568-4213
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141885
PK
—
Enumeration date
09/03/2013
Last updated
10/26/2013
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