Organization
PROJECT VIDA HEALTH CENTER
Active
Organization
PROJECT VIDA HEALTH CENTER
Active
Other names
Maxwell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DAVENPORT-HERBST (CEO)
(915) 533-7057
Entity
Organization
Contact information
Practice address
4875 MAXWELL AVE RM P, EL PASO, TX 79904-1559
(915) 465-1191
(915) 533-7158
Mailing address
3607 RIVERA AVE, EL PASO, TX 79905-2415
(915) 465-1191
(915) 533-7158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
07/14/2026
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