Organization
LETDIN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAETITIA ANDIN FOMBON (PHARMACIST IN CHARGE)
(214) 837-9976
Entity
Organization
Contact information
Practice address
1512 E GRIFFIN PARKWAY, STE 1, MISSION, TX 78572-2422
(956) 581-9566
(956) 581-9568
Mailing address
1512 E GRIFFIN PARKWAY, STE 1, MISSION, TX 78572-2422
(956) 581-9566
(956) 581-9568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146124
—
TX
Enumeration date
02/16/2010
Last updated
03/24/2015
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