Organization
DIVINE PHARMACY LLC
Active
Other names
Divine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE VARGAS (OWNER)
(956) 534-6990
Entity
Organization
Contact information
Practice address
427 E DURANTA AVE STE 101, ALAMO, TX 78516-3409
(956) 287-4551
(956) 287-4420
Mailing address
427 E DURANTA AVE STE 101, ALAMO, TX 78516-3409
(956) 287-4551
(956) 287-4420
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149974
—
TX
Enumeration date
11/26/2018
Last updated
02/01/2022
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