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NPI Code Detail

MEDICARE: LATIN AMERICAN DRUGS INC

MEDICARE: LATIN AMERICAN DRUGS INC
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
13336C0003XCommunity/Retail Pharmacy25705TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22100396OTHERPK

General Provider Information

NPI Number : 1912194739
Entity Type Code : Organization
Provider Name (Legal Business Name) : LATIN AMERICAN DRUGS INC
Provider Business Mailing Address
First Line : 11012 AIRLINE DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 713-683-6004
Fax Number : 713-683-8618
Provider Business Practice Location Address
First Line : 11012 AIRLINE DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 713-683-6004
Fax Number : 713-683-8618
Authorized Official
Title or Position : DIRECTOR
Name : ELIZABETH ZELAYA
Credential :
Telephone Number : 281-827-4485
Provider Enumeration Date : 09/25/2007
Last Update Date : 12/03/2024

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Directions to “LATIN AMERICAN DRUGS INC ” Practice Location

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