Divine Pharmacy

LBN: Divine Pharmacy Llc
Divine Pharmacy is an health care organization with primary practice located at 427 E Duranta Ave Ste 101 , Alamo TX 78516-3409. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Divine Pharmacy Llc can be contacted via phone (956) 287-4551, or through Vargas, Jose via phone (956) 534-6990.

Contact Information

Primary practice address
427 E Duranta Ave Ste 101 Alamo TX 78516-3409
Phone: (956) 287-4551
Fax: (956) 287-4420
Website:
Map and Directions
Authorized official contact:
Name: Vargas, Jose
Phone: (956) 534-6990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1932678646
LBN Legal business name Divine Pharmacy Llc
DBA Doing business as Divine Pharmacy
Authorized official Vargas, Jose
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2018
Last updated Feb 1st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932678646 NPPES
Texas MEDICAID 149974

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