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General NPI Number Information
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NPI Number | 1841650314
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS VALLEY PHARMACY LLC
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 5401 N G ST STE 3
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City | MCALLEN
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State | TX
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Zip | 78504-4894
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Country | US
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Telephone | 956-217-7000
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Fax | 956-682-1668
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Provider Business Mailing Address
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Address Line | P.O. BOX 720730
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City | MCALLEN
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State | TX
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Zip | 78504
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Country | US
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Telephone | 956-217-7000
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Fax | 956-682-1668
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | NELLIE GARCIA
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Credential | PRACTICE ADMIN
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Telephone | 956-217-7000
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 30679
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License Number State | TX
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