Freds Drug Store

LBN: Amadeo Valenzuela Jr
Freds Drug Store is an health care organization with primary practice located at 200 W Colorado Ave , Rio Hondo TX 78583. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Amadeo Valenzuela Jr can be contacted via phone (956) 748-2141, or through Valenzuela, Amadeo via phone (956) 748-2141.

Contact Information

Primary practice address
200 W Colorado Ave Rio Hondo TX 78583
Phone: (956) 748-2141
Fax: (956) 748-2570
Website:
Map and Directions
Authorized official contact:
Name: Valenzuela, Amadeo
Phone: (956) 748-2141

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0197 Texas

Profile Details

NPI number 1326137480
LBN Legal business name Amadeo Valenzuela Jr
DBA Doing business as Freds Drug Store
Authorized official Valenzuela, Amadeo
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 10th, 2008 - about 16 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 1326137480 NPPES
Texas MEDICAID 144258

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