Organization
SPENCE MEDICAL PHARMACY LLC
Active
Other names
Spence Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A VELA R.PH. (PRESIDENT/OWNER)
(956) 583-2700
Entity
Organization
Contact information
Practice address
2301 E MULBERRY ST, ANGLETON, TX 77515-3804
(979) 849-9391
(979) 848-0900
Mailing address
1107 PAMELA, STE B, MISSION, TX 78572
(956) 583-2700
(956) 583-3220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148745
—
TX
01
—
4579910
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
06/07/2024
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