Organization
MEDICAL PLAZA PHARMACY INC
Active
Other names
MEDICAL PLAZA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA VILLARREAL RPH (PIC OWNER)
(361) 387-0005
Entity
Organization
Contact information
Practice address
13725 NORTHWEST BLVD, SUITE 130, CORPUS CHRISTI, TX 78410-5127
(361) 387-0005
(361) 387-1132
Mailing address
13725 NORTHWEST BLVD, SUITE 130, CORPUS CHRISTI, TX 78410-5127
(361) 387-0005
(361) 387-1132
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068570301
—
TX
01
—
2093845
PK
—
Enumeration date
09/30/2006
Last updated
07/25/2017
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