Provider Demographics
NPI:1013437417
Name:TORRES FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:TORRES FAMILY PHARMACY LLC
Other - Org Name:TORRES FAMILY PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:LEDESMA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:956-567-2005
Mailing Address - Street 1:PO BOX 2487
Mailing Address - Street 2:
Mailing Address - City:ELSA
Mailing Address - State:TX
Mailing Address - Zip Code:78543-2487
Mailing Address - Country:US
Mailing Address - Phone:956-567-2005
Mailing Address - Fax:956-567-2005
Practice Address - Street 1:103 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ELSA
Practice Address - State:TX
Practice Address - Zip Code:78543-7854
Practice Address - Country:US
Practice Address - Phone:956-567-2005
Practice Address - Fax:956-567-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
590373OtherMEDICARE CLINICAL