Individual
EDWARD C CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1301 AIRLINE RD, CORPUS CHRISTI, TX 78412-3909
(361) 980-9203
Mailing address
1301 AIRLINE RD, CORPUS CHRISTI, TX 78412-3909
(361) 980-9203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23495
TX
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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