MEDICARE: DR. JOHN PAUL CALVILLO PHARM. D.

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	40899	TX

General Provider Information

NPI Number	:	1770586844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN PAUL CALVILLO PHARM. D.

Provider Business Mailing Address
First Line	:	1501 MELISSA RAE DR
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78572-3562
Country	:	US
Telephone Number	:	956-270-0517
Fax Number	:	956-686-2444

Provider Business Practice Location Address
First Line	:	2202 SUGAR SWEET STE E
Second Line	:
City	:	WESLACO
State	:	TX
Zip	:	78599-3760
Country	:	US
Telephone Number	:	877-449-6661
Fax Number	:	877-662-2975

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/05/2021

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