Organization
VALLEY BAPTIST MEDICAL CENTER
Active
Other names
V B M C OUTPATIENT PHY
Organization subpart
No
Provider details
NPI number
Authorized official
JACK AYOUB RPH (OUTPATIENT PHARMACY SUPERVISOR)
(956) 389-6898
Entity
Organization
Contact information
Practice address
2101 PEASE ST, EAST TOWER, HARLINGEN, TX 78550-8307
(956) 389-6898
(956) 389-1984
Mailing address
2101 PEASE ST, EAST TOWER, HARLINGEN, TX 78550-8307
(956) 389-6898
(956) 389-1984
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250339
—
TX
01
—
4581573
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2007
Last updated
07/30/2010
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