Provider Demographics
NPI:1164989463
Name:CASTILLO, ANDREW J (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CENTRAL PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-7710
Mailing Address - Country:US
Mailing Address - Phone:210-385-1290
Mailing Address - Fax:
Practice Address - Street 1:2200 CENTRAL PKWY STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-7710
Practice Address - Country:US
Practice Address - Phone:855-544-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-23
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist