Individual
CLARISSA YVETTE CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
121 PLUMOSA CT, HARLINGEN, TX 78552-6633
(956) 498-8534
Mailing address
2202 SUGAR SWEET STE E, WESLACO, TX 78599-3760
(877) 449-6661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
TX34010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TX34010
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
02/04/2021
Last updated
02/04/2021
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