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Organization

NUESTRA CLINICA DEL VALLE INC

Active
Other names
NUESTRA CLINICA DEL VALLE
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA L TORRES (CHIEF EXECUTIVE OFFICER)
(956) 787-8915
Entity
Organization

Contact information

Practice address
611 N BRYAN RD, MISSION, TX 78572
(956) 580-3304
(956) 524-1901
Mailing address
PO BOX 1689, PHARR, TX 78577-1630
(956) 787-0787
(956) 787-2021

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
D18061
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019056301
TX
01
2093643
PK
Enumeration date
06/22/2006
Last updated
08/31/2018
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