Organization
COOGS INVESTMENTS LTD
Active
Other names
TYLER MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LADISLAO CARDENAS (DIRECTOR)
(956) 365-3217
Entity
Organization
Contact information
Practice address
1002 E TYLER AVE, HARLINGEN, TX 78550-7136
(956) 365-3217
(956) 421-2135
Mailing address
1002 E TYLER AVE, HARLINGEN, TX 78550-7136
(956) 365-3217
(956) 421-2135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145750
—
TX
01
—
4543496
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/18/2006
Last updated
12/13/2011
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