Healthcare Provider Details

I. General information

NPI: 1548148182
Provider Name (Legal Business Name): LINDBERG PHARMACY LTC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5203 S MCCOLL RD
EDINBURG TX
78539
US

IV. Provider business mailing address

5203 S MCCOLL RD
EDINBURG TX
78539
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

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