=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053326652
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LM PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2006
-----------------------------------------------------
Last Update Date | 01/21/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 W SAM HOUSTON BLVD STE 3
-----------------------------------------------------
City | PHARR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78577-5201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-601-0075
-----------------------------------------------------
Fax | 956-601-0093
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 900 W SAM HOUSTON BLVD STE 3
-----------------------------------------------------
City | PHARR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78577-5201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-601-0075
-----------------------------------------------------
Fax | 956-601-0093
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PIC/OWNER
-----------------------------------------------------
Name | MR. FRANK R GARCIA
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 956-867-0486
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 17288
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------