Organization
PRESCRIPTION SOLUTIONS OF LAREDO LLC
Active
Other names
LAKESIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS CONTRERAS (OWNER)
(956) 725-6337
Entity
Organization
Contact information
Practice address
2337 ENDEAVOR, STE C, LAREDO, TX 78041-1970
(956) 725-6337
(956) 725-7317
Mailing address
2337 ENDEAVOR, STE C, LAREDO, TX 78041-1970
(956) 725-6337
(956) 725-7317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100495
PK
—
Enumeration date
11/29/2007
Last updated
12/31/2015
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