Organization
DICKINSON PHARMACY LLC
Active
Other names
Dickinson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL ANTONIO DE LA VEGA (OWNER)
(832) 769-0153
Entity
Organization
Contact information
Practice address
3717 HIGHWAY 3 STE D, DICKINSON, TX 77539-8024
(832) 769-0153
Mailing address
3717 HIGHWAY 3 STE D, DICKINSON, TX 77539-8024
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
06/08/2021
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