Healthcare Provider Details

I. General information

NPI: 1902782618
Provider Name (Legal Business Name): ROBERTO V SALINAS PHARMACY ESOP TR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 W OCEAN BLVD
LOS FRESNOS TX
78566-3600
US

IV. Provider business mailing address

810 W OCEAN BLVD
LOS FRESNOS TX
78566-3600
US

V. Phone/Fax

Practice location:
  • Phone: 956-233-3400
  • Fax: 956-233-3402
Mailing address:
  • Phone: 956-233-3400
  • Fax: 956-233-3402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT VALENTIN SALINAS
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMACIST
Phone: 956-233-3400