Organization
RAYMONDVILLE FAMILY PHARMACY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIGIO ADRIAN CERVANTES RPH (RPH/OWNER)
(956) 689-6337
Entity
Organization
Contact information
Practice address
180 N 7TH ST, RAYMONDVILLE, TX 78580-2202
(956) 689-6337
(956) 689-3500
Mailing address
180 N 7TH ST, RAYMONDVILLE, TX 78580-2202
(956) 689-6337
(956) 689-3500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
15471802
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
156471802
TX
333600000X
Pharmacy
Primary
40248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156471802
—
TX
Enumeration date
08/16/2005
Last updated
08/21/2013
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