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NPI Code Detail

MEDICARE: YODORINCMISSIONPLAZAPHARMACY

MEDICARE: YODORINCMISSIONPLAZAPHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesTX
2333600000XPharmacyTX

Other Identifiers

General Provider Information

NPI Number : 1093718025
Entity Type Code : Organization
Provider Name (Legal Business Name) : YODORINCMISSIONPLAZAPHARMACY
Provider Business Mailing Address
First Line : 906 S BRYAN RD
Second Line : STE 101A
City : MISSION
State : TX
Zip : 78572-6657
Country : US
Telephone Number : 956-581-8833
Fax Number :
Provider Business Practice Location Address
First Line : RR 8 BOX 3311
Second Line :
City : MISSION
State : TX
Zip : 78574-8606
Country : US
Telephone Number : 956-583-0044
Fax Number :
Authorized Official
Title or Position : VPSECRETARY
Name : MRS. DORA G ESPINOZA
Credential : RPH
Telephone Number : 956-583-0044
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/11/2025

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Directions to “YODORINCMISSIONPLAZAPHARMACY ” Practice Location

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