Divine Pharmacy #2

LBN: Mermaid Walking Inc
Divine Pharmacy #2 is an health care organization with primary practice located at 427 E Duranta Ave Ste 101 , Alamo TX 78516-3409. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mermaid Walking Inc can be contacted via phone (956) 601-0140, or through Vela, Jose Alberto via phone (956) 583-2700.

Contact Information

Primary practice address
427 E Duranta Ave Ste 101 Alamo TX 78516-3409
Phone: (956) 601-0140
Fax: (956) 601-0130
Website:
Map and Directions
Authorized official contact:
Name: Vela, Jose Alberto PHARM.D.
Phone: (956) 583-2700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 31942 Texas

Profile Details

NPI number 1487151007
LBN Legal business name Mermaid Walking Inc
DBA Doing business as Divine Pharmacy #2
Authorized official Vela, Jose Alberto PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2018
Last updated May 28th, 2024 - about 2 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 1487151007 NPPES
Texas MEDICAID 149855
Texas Other 2176877

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