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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