Corando Rios Trevino Dba Modern Pharmacy

LBN: Corando Rios Trevino Dba Modern Pharmacy
Corando Rios Trevino Dba Modern Pharmacy is an health care organization with primary practice located at 305 W Avenue A , Robstown TX 78380-3209. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Corando Rios Trevino Dba Modern Pharmacy can be contacted via phone (361) 387-4721, or through Trevino, Corando Rios via phone (361) 387-4721.

Contact Information

Primary practice address
305 W Avenue A Robstown TX 78380-3209
Phone: (361) 387-4721
Fax: (361) 387-0043
Website:
Map and Directions
Authorized official contact:
Name: Trevino, Corando Rios
Phone: (361) 387-4721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1033380746
LBN Legal business name Corando Rios Trevino Dba Modern Pharmacy
DBA Doing business as
Authorized official Trevino, Corando Rios
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2008
Last updated Dec 27th, 2010 - about 15 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 1033380746 NPPES
Texas MEDICAID 017238903

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