Provider Demographics
NPI:1497358345
Name:FLORES, CALEB (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 823
Mailing Address - Street 2:
Mailing Address - City:RIO HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78583-0823
Mailing Address - Country:US
Mailing Address - Phone:956-202-2204
Mailing Address - Fax:
Practice Address - Street 1:618 N MAIN ST # 5
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2755
Practice Address - Country:US
Practice Address - Phone:956-464-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist