Provider Demographics
NPI:1053326652
Name:LM PHARMACY
Entity type:Organization
Organization Name:LM PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-867-0486
Mailing Address - Street 1:900 W SAM HOUSTON BLVD
Mailing Address - Street 2:STE 3
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5201
Mailing Address - Country:US
Mailing Address - Phone:956-601-0075
Mailing Address - Fax:956-601-0093
Practice Address - Street 1:900 W SAM HOUSTON BLVD
Practice Address - Street 2:STE 3
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5201
Practice Address - Country:US
Practice Address - Phone:956-601-0075
Practice Address - Fax:956-601-0093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX172883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144487Medicaid
TX148868Medicaid
2106449OtherPK