Organization
CORANDO RIOS TREVINO DBA MODERN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORANDO RIOS TREVINO (OWNER / PHARMACIST IN CHARGE)
(361) 387-4721
Entity
Organization
Contact information
Practice address
305 W AVENUE A, ROBSTOWN, TX 78380-3209
(361) 387-4721
(361) 387-0043
Mailing address
305 W AVENUE A, ROBSTOWN, TX 78380-3209
(361) 387-4721
(361) 387-0043
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017238903
—
TX
Enumeration date
03/20/2008
Last updated
07/18/2025
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