MEDICARE: CANTUS PHARMACY

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	3336C0003X	Community/Retail Pharmacy	00898	TX
2	3336C0004X	Compounding Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407949217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANTUS PHARMACY

Provider Business Mailing Address
First Line	:	504 S CLOSNER BLVD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4660
Country	:	US
Telephone Number	:	956-383-1239
Fax Number	:	956-318-0196

Provider Business Practice Location Address
First Line	:	504 S CLOSNER BLVD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4660
Country	:	US
Telephone Number	:	956-383-1239
Fax Number	:	956-318-0196

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE CANTU
Credential	:
Telephone Number	:	956-383-1239

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	09/11/2025

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Directions to “CANTUS PHARMACY ” Practice Location

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