Provider Demographics
NPI:1871636431
Name:FLORES, ROBERT EFRAIN JR (RPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:EFRAIN
Last Name:FLORES
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 N SHARY RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-3241
Mailing Address - Country:US
Mailing Address - Phone:956-585-7743
Mailing Address - Fax:
Practice Address - Street 1:2301 N SHARY RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-3241
Practice Address - Country:US
Practice Address - Phone:956-585-7743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34471OtherSTATE LICENSE