Organization
TIGUA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOHANNES BEREHANE RPH (OWNER (PIC ))
(915) 590-2800
Entity
Organization
Contact information
Practice address
8269 N LOOP DR, EL PASO, TX 79907-4234
(915) 590-2800
(915) 590-3693
Mailing address
8269 N LOOP DR, EL PASO, TX 79907-4234
(915) 590-2800
(915) 590-3693
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012338
—
TX
Enumeration date
02/07/2007
Last updated
08/22/2020
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