Organization
LUNA'S FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOE TINAJERO RPH (PHARMACY MANAGER)
(830) 773-7800
Entity
Organization
Contact information
Practice address
1975 N VETERANS BLVD STE 3, EAGLE PASS, TX 78852-4456
(830) 773-7800
(830) 773-9588
Mailing address
1975 N VETERANS BLVD STE 3, EAGLE PASS, TX 78852-4456
(830) 773-7800
(830) 773-9588
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145308
—
TX
Enumeration date
03/01/2007
Last updated
08/22/2020
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