Provider Demographics
NPI:1396820395
Name:COMPT0N, AMPARO LUISA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:AMPARO
Middle Name:LUISA
Last Name:COMPT0N
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 S ZAPATA HWY
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-6510
Mailing Address - Country:US
Mailing Address - Phone:956-795-8101
Mailing Address - Fax:956-795-8108
Practice Address - Street 1:2007 S ZAPATA HWY
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-6510
Practice Address - Country:US
Practice Address - Phone:956-795-8101
Practice Address - Fax:956-795-8108
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19755OtherTX STATE BOARD OF PHARMAC