Provider Demographics
NPI:1902408909
Name:HINOJOSA, ALMA ALICIA (R PH)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:ALICIA
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:R PH
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 700
Mailing Address - Street 2:
Mailing Address - City:GRULLA
Mailing Address - State:TX
Mailing Address - Zip Code:78548-0700
Mailing Address - Country:US
Mailing Address - Phone:956-573-8187
Mailing Address - Fax:
Practice Address - Street 1:1310 N TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-4210
Practice Address - Country:US
Practice Address - Phone:956-968-8689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23775183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist