Provider Demographics
NPI:1376329284
Name:MED TIME PHARMACY INC
Entity Type:Organization
Organization Name:MED TIME PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:915-584-6337
Mailing Address - Street 1:641 N RESLER DR STE 306-07
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2384
Mailing Address - Country:US
Mailing Address - Phone:915-584-6337
Mailing Address - Fax:915-584-6340
Practice Address - Street 1:641 N RESLER DR STE 306-07
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-2384
Practice Address - Country:US
Practice Address - Phone:915-584-6337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy