NPI | 1780606954 |
---|---|
Former Name | CORANDO RIOS TREVINO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 449) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 19544) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2025-06-17 |