Provider Demographics
NPI:1598109373
Name:KV EARLY INC
Entity Type:Organization
Organization Name:KV EARLY INC
Other - Org Name:CANTU'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERASMO
Authorized Official - Middle Name:ALFREDO
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-544-6666
Mailing Address - Street 1:1080 E LOS EBANOS BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9988
Mailing Address - Country:US
Mailing Address - Phone:956-544-6666
Mailing Address - Fax:956-544-5539
Practice Address - Street 1:3243 SOUTHMOST RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4857
Practice Address - Country:US
Practice Address - Phone:956-544-6666
Practice Address - Fax:956-544-5539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy