Provider Demographics
NPI:1134718562
Name:CASTILLO, MELISSA JEANETTE (CPHT)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:JEANETTE
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-3233
Mailing Address - Country:US
Mailing Address - Phone:210-657-0322
Mailing Address - Fax:
Practice Address - Street 1:6030 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-3233
Practice Address - Country:US
Practice Address - Phone:210-657-0322
Practice Address - Fax:866-581-8324
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician