| NPI | 1629873583 |
|---|---|
| Doing Business As | DIVINE PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | JOSE G VARGAS Vice President 956-534-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |