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1073673844 NPI number — MARTHA WALLACE CASTILLO R.PH.

NPI Number: 1073673844
Health Care Provider/Practitioner: MARTHA WALLACE CASTILLO R.PH.

Information about “1073673844” NPI (MARTHA WALLACE CASTILLO R.PH.) exists in 1073673844 in HTML format HTML  |  1073673844 in plain Text format TXT  |  1073673844 in PDF (Portable Document Format) PDF  |  1073673844 in an XML format XML  formats.

NPI Number : 1073673844 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073673844",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASTILLO",
    "FirstName": "MARTHA",
    "MiddleName": "WALLACE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "R.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1494 VIA APPIA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EL PASO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79912-6611",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "915-833-8488",
    "MailingAddressFaxNumber": "915-532-7116",
    "FirstLinePracticeLocationAddress": "1901 GRANDVIEW AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL PASO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79902-5113",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "915-747-4840",
    "PracticeLocationAddressFaxNumber": "915-532-7116",
    "EnumerationDate": "12/11/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "4067",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1835X0200X",
          "TaxonomyName": "Oncology Pharmacist",
          "LicenseNumber": "26202",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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