Organization
MEDICAL PLAZA PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA VILLARREAL (PHARMACIST)
(361) 387-0005
Entity
Organization
Contact information
Practice address
13725 NORTHWEST BLVD, SUITE #130, CORPUS CHRISTI, TX 78410-5127
(361) 387-0005
(361) 387-1132
Mailing address
13725 NORTHWEST BLVD, SUITE #130, CORPUS CHRISTI, TX 78410-5127
(361) 387-0005
(361) 387-1132
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
20458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148808
—
TX
Enumeration date
04/08/2016
Last updated
07/25/2017
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