MEDICARE: JANINE CASTRO PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	67723	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	67723	OTHER	TX	TEXAS STATE BOARD OF PHARMACY LICENSE

General Provider Information

NPI Number	:	1407570260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE CASTRO PHARMD

Provider Business Mailing Address
First Line	:	3402 CASTLEMAN COVE DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-3480
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18081 PRESTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5407
Country	:	US
Telephone Number	:	469-749-3946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	09/26/2022

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Directions to “ JANINE CASTRO PHARMD” Practice Location

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