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General NPI Number Information
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NPI Number | 1912194739
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Entity Type | Organization
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Legal Business Name | LATIN AMERICAN DRUGS INC
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 11012 AIRLINE DR STE A
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City | HOUSTON
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State | TX
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Zip | 77037-1112
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Country | US
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Telephone | 713-683-6004
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Fax | 713-683-8618
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Provider Business Mailing Address
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Address Line | 11012 AIRLINE DR STE A
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City | HOUSTON
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State | TX
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Zip | 77037-1112
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Country | US
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Telephone | 713-683-6004
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Fax | 713-683-8618
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIZABETH ZELAYA
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Credential |
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Telephone | 281-827-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 25705
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License Number State | TX
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