Organization
ELSA PHARMACY SERVICES LLC
Active
Other names
ELSA PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MOISES TORRES RPH (OWNER / PIC / MGR)
(956) 262-6400
Entity
Organization
Contact information
Practice address
205 W EDINBURG DR, ELSA, TX 78543
(956) 262-6400
(956) 262-4122
Mailing address
PO BOX 429, ELSA, TX 78543-0429
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144460
—
TX
01
—
4597843
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
05/05/2010
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