Healthcare Provider Details

I. General information

NPI: 1437265873
Provider Name (Legal Business Name): LINDBERG PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5203 S MCCOLL RD
EDINBURG TX
78539-0231
US

IV. Provider business mailing address

5203 S MCCOLL RD
EDINBURG TX
78539-0231
US

V. Phone/Fax

Practice location:
  • Phone: 956-687-6204
  • Fax: 956-687-2244
Mailing address:
  • Phone: 956-687-6204
  • Fax: 956-687-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSE GILBERTO TOVAR
Title or Position: OWNER
Credential: RPH
Phone: 956-687-6204