| NPI | 1194276204 |
|---|---|
| Doing Business As | HEALTHVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEHINDE KELVIN BUSARI Pharmacy Manager 956-701-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31006) |
| 251F00000X Home Infusion | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-10-20 |