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Organization

SANTA MARIA PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY VALENTINE OGBA RPH (PHARMACIST IN CHARGE)
(956) 569-7965
Entity
Organization

Contact information

Practice address
1222 W MONTE CRISTO RD, EDINBURG, TX 78541-3873
(956) 383-7709
(956) 383-7901
Mailing address
1222 W MONTE CRISTO RD, EDINBURG, TX 78541-3873
(956) 383-7709
(956) 383-7901

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25490
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145993
TX
Enumeration date
05/04/2007
Last updated
07/12/2010
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