Organization
LA BLANCA PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL RICARDO LOPEZ R.PH. (PRRESIDENT)
(956) 262-7662
Entity
Organization
Contact information
Practice address
18360 FM 493 STE. B, LA BLANCA, TX 78558
(956) 262-7662
(956) 262-7627
Mailing address
2801 S PECAN BLVD, DONNA, TX 78537-6553
(956) 262-7662
(856) 262-7627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
23203
TX
Other
Enumeration date
04/18/2007
Last updated
02/17/2012
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