Provider Demographics
NPI:1477110195
Name:CANO, ROBERT (PHARM D)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:CANO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-2597
Mailing Address - Country:US
Mailing Address - Phone:956-689-2161
Mailing Address - Fax:956-689-5334
Practice Address - Street 1:192 S 7TH ST
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-2597
Practice Address - Country:US
Practice Address - Phone:956-689-2161
Practice Address - Fax:956-689-5334
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX470133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy