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General NPI Number Information
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NPI Number | 1699873190
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Entity Type | Organization
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Legal Business Name | LAREDO DOWNTOWN PHARMACY, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1219 MATAMOROS ST
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City | LAREDO
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State | TX
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Zip | 78040-5069
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Country | US
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Telephone | 956-726-4512
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Fax | 956-726-6506
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Provider Business Mailing Address
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Address Line | 1219 MATAMOROS ST
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City | LAREDO
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State | TX
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Zip | 78040-5069
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Country | US
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Telephone | 956-726-4512
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Fax | 956-726-6506
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Authorized Official
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Title or Position | OWNER
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Name | TOMAS IZAGUIRRE
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Credential | RPH
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Telephone | 956-726-4512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 16120
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License Number State | TX
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