Organization
AIPHARM LLC
Active
Other names
LANRX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIES AIYEWA DOCTORATE (PRESIDENT/PIC)
(956) 725-6000
Entity
Organization
Contact information
Practice address
2110 LOMAS DEL SUR STE 105, LAREDO, TX 78046-5755
(956) 725-6000
(956) 725-6001
Mailing address
2110 LOMAS DEL SUR, SUITE 105, LAREDO, TX 78046-5750
(956) 725-6000
(956) 725-6001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145278
—
TX
01
—
2098637
PK
—
Enumeration date
09/06/2006
Last updated
07/19/2018
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