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Individual

DR. CAROLINA CANTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2700 W FREDDY GONZALEZ DR, EDINBURG, TX 78539-7312
(956) 383-4083
Mailing address
904 STANFORD CT, EDINBURG, TX 78541-9841
(956) 573-4911

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69109
TX
183700000X
Pharmacy Technician
237052
TX
390200000X
Student in an Organized Health Care Education/Training Program
36691
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
69109
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
09/10/2020
Last updated
08/17/2021
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