Provider Demographics
NPI:1558671404
Name:MED-AID PHARMACY - HARLINGEN
Entity Type:Organization
Organization Name:MED-AID PHARMACY - HARLINGEN
Other - Org Name:MED-AID, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:BBA FINANCE
Authorized Official - Phone:956-279-4331
Mailing Address - Street 1:1020 SOUTH CLOSNER
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-318-0253
Mailing Address - Fax:956-381-9182
Practice Address - Street 1:5505 S. EXPRESSWAY 77/83 STE 104
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-423-5646
Practice Address - Fax:956-423-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty