Organization
PEDRO MANUEL YZAGUIRRE JR
Active
Other names
PETE'S PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO MANUEL YZAGUIRRE JR. (OWNER/STAFF PHARMACIST)
(956) 343-2424
Entity
Organization
Contact information
Practice address
5235 SOUTHMOST RD, SUITE C, BROWNSVILLE, TX 78521-8052
(956) 504-9555
(956) 504-9910
Mailing address
5235 SOUTHMOST RD, SUITE C, BROWNSVILLE, TX 78521-8052
(956) 504-9555
(956) 504-9910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
26824
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4555011
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/02/2010
Last updated
12/01/2014
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