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LOS EBANOS PHARMACYLLC NPI 1376546937


NPI Information

NPI: 1376546937
Provider Name: LOS EBANOS PHARMACY,LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1134 E LOS EBANOS BLVD
BROWNSVILLE, TX
ZIP 78520
Phone: (956) 542-8542
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LOS EBANOS PHARMACY,LLC is a pharmacy in Brownsville, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LOS EBANOS PHARMACY,LLC NPI is 1376546937. The provider is registered as an organization entity type.

The provider's business location address is:

1134 E LOS EBANOS BLVD
BROWNSVILLE, TX
ZIP 78520-730
Phone: (956) 542-8542
Fax: (956) 542-0044

The provider's authorized official is Robert J De Lachica .
The authorized official title is Owner and has the following contact phone number (956) 542-8542.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 9/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy02302TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10369290001MEDICARE NSCTEXAS
2141943MEDICAIDTEXAS
34503810OTHERTEXASNCPDP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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