Organization
PHARMAVIDA RX INC
Active
Other names
PHARMAVIDA RX
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO MALAGA (RPH, PHARMD/PIC)
(956) 563-3361
Entity
Organization
Contact information
Practice address
1337 E PALMA VISTA DR STE B, PALMVIEW, TX 78572-2055
(956) 424-6640
(956) 424-6639
Mailing address
1337 E PALMA VISTA DR STE B, PALMVIEW, TX 78572-2055
(956) 424-6640
(956) 424-6639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30676
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149306
—
TX
01
—
2159255
PK
—
Enumeration date
03/04/2016
Last updated
08/26/2016
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