MEDICARE: ROBERT EFRAIN FLORES JR. R.PH.

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	34471	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34471	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1871636431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT EFRAIN FLORES JR. R.PH.

Provider Business Mailing Address
First Line	:	2301 N SHARY RD
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-3241
Country	:	US
Telephone Number	:	956-585-7743
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 N SHARY RD
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-3241
Country	:	US
Telephone Number	:	956-585-7743
Fax Number	:

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	12/22/2021

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