Organization
JOSE RENE CANTU
Active
Other names
Cantu's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RENE CANTU (PHARMACIST)
(956) 383-6506
Entity
Organization
Contact information
Practice address
504 S CLOSNER BLVD, EDINBURG, TX 78539-4660
(956) 383-6506
(956) 383-4123
Mailing address
504 S CLOSNER BLVD, EDINBURG, TX 78539-4660
(956) 383-6506
(956) 383-4123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091640501
—
TX
05
—
091640505
—
TX
Enumeration date
05/04/2007
Last updated
06/13/2011
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