Provider Demographics
NPI:1558602953
Name:FLORES, VIRGINIA ANNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:ANNA
Last Name:FLORES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:VIRGINIA
Other - Middle Name:ANNA
Other - Last Name:UTHURUSAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3539 PLAZAS DEL LAGO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7700
Mailing Address - Country:US
Mailing Address - Phone:956-207-9607
Mailing Address - Fax:
Practice Address - Street 1:901 W EXPY 83
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3734
Practice Address - Country:US
Practice Address - Phone:956-783-1275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-09
Last Update Date:2013-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist