Organization
JOSE GILBERTO TOVAR
Active
Organization
JOSE GILBERTO TOVAR
Active
Other names
Lindberg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE GILBERTO TOVAR R.PH. (PHARMACIST IN CHARGE)
(956) 687-6204
Entity
Organization
Contact information
Practice address
5203 SOUTH MCCOLL RD., EDINBURG, TX 78539
(956) 687-6204
(956) 687-2244
Mailing address
5203 SOUTH MCCOLL RD, EDINBURG, TX 78539
(956) 687-6204
(956) 687-2244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
13413
TX
332BC3200X
Customized Equipment (DME)
13413
TX
3336C0003X
Community/Retail Pharmacy
Primary
13413
TX
335E00000X
Prosthetic/Orthotic Supplier
13413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165359-01
MEDICAID PROVIDER ID #
TX
05
—
143528
—
TX
Enumeration date
08/24/2005
Last updated
11/24/2015
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