Organization Name: | JOSE GILBERTO TOVAR |
NPI Number: | 1326031469 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE GILBERTO TOVAR (PHARMACIST IN CHARGE) |
Mailing Address: | 5203 South Mccoll Rd. Edinburg |
State: | TX US |
Postal Code: | 78539 |
Phone Number: | 9566876204 |
Fax Number: | 9566872244 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 13413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |