Organization
LA BLANCA PHARMACY INC
Active
Organization
LA BLANCA PHARMACY INC
Active
Other names
LA BLANCA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL LOPEZ (PIC)
(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
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145248
—
TX
01
—
2098248
PK
—
Enumeration date
04/19/2007
Last updated
02/16/2015
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