Organization
FRANK CASTANEDA
Active
Other names
Amigos Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK CASTANEDA (PHARMACIST)
(830) 758-1622
Entity
Organization
Contact information
Practice address
1763 E GARRISON ST, EAGLE PASS, TX 78852-5016
(830) 758-1622
Mailing address
PO BOX 805, EAGLE PASS, TX 78853-0805
(830) 758-1622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
17227
TX
3336C0003X
Community/Retail Pharmacy
Primary
17227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012304
COMUNITY CARE RX BIN #
TX
05
—
014344801
—
TX
05
—
144461
—
TX
01
—
610029
CAREMARK BIN #
TX
01
—
610455
BLUECROSS MEDICARE BIN #
TX
01
—
61052
AETNA MEDICARE BIN NUMBER
TX
01
—
CORRECTED NABP#
4598162
TX
Enumeration date
04/03/2007
Last updated
07/03/2008
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