Provider Demographics
NPI:1588806210
Name:SALINAS, ROBERT VALENTIN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:VALENTIN
Last Name:SALINAS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566-3600
Mailing Address - Country:US
Mailing Address - Phone:956-233-3400
Mailing Address - Fax:956-233-3402
Practice Address - Street 1:810 W OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:LOS FRESNOS
Practice Address - State:TX
Practice Address - Zip Code:78566-3600
Practice Address - Country:US
Practice Address - Phone:956-233-3400
Practice Address - Fax:956-233-3402
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX22633OtherPHARMACIST