| NPI | 1932678646 |
|---|---|
| Doing Business As | DIVINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSE VARGAS Owner 956-534-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2022-02-01 |