Provider Demographics
NPI:1336730928
Name:VILLALOBOS, YVONNE (CPHT)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:VILLALOBOS
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 1:200 US EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-630-2911
Mailing Address - Fax:866-388-8942
Practice Address - Street 1:200 US EXPRESSWAY 83
Practice Address - Street 2:PHARMACY
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2951
Practice Address - Country:US
Practice Address - Phone:956-630-2911
Practice Address - Fax:800-388-8942
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
100424183700000X
TX100424183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician