Elda Cobos

Individual provider Active NPI Pharmacy Technician · San Juan, TX

NPI 1851982011 · NPPES record last updated Jan 31, 2021

Key facts

NPI
1851982011
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
112269 (TX)
Practice address
1906 S Lincoln Ave
San Juan, TX 78589
Phone
(956) 784-1892
Fax
(956) 258-5048
NPI assigned
Jan 31, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
112269TXMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 112269 TX Yes

Addresses

Primary practice location

1906 S Lincoln Ave
San Juan, TX 78589

Mailing address

1906 S Lincoln Ave
San Juan, TX 78589
Phone (956) 784-1892

Other providers in San Juan, TX

All providers in San Juan, TX · Pharmacy Technician in Texas

Sources for this page

Verify at the official NPI Registry.