MEDICARE: LA FERIA DRUG

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
1	3336C0003X	Community/Retail Pharmacy	28786	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2142846	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780013680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA FERIA DRUG

Provider Business Mailing Address
First Line	:	1242 E BUS HWY 83 STE 7
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78572-9308
Country	:	US
Telephone Number	:	956-583-2700
Fax Number	:	956-583-2714

Provider Business Practice Location Address
First Line	:	54 E PRICE RD STE 2
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-3508
Country	:	US
Telephone Number	:	956-550-8908
Fax Number	:	956-550-8911

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSE ALBERTO VELA
Credential	:	R.PH.
Telephone Number	:	956-265-9634

Provider Enumeration Date	:	11/01/2013
Last Update Date	:	12/19/2023

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Directions to “LA FERIA DRUG ” Practice Location

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