Provider Demographics
NPI:1770586844
Name:CALVILLO, JOHN PAUL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:CALVILLO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1501 MELISSA RAE DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3562
Mailing Address - Country:US
Mailing Address - Phone:956-270-0517
Mailing Address - Fax:956-686-2444
Practice Address - Street 1:2202 SUGAR SWEET STE E
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-3760
Practice Address - Country:US
Practice Address - Phone:877-449-6661
Practice Address - Fax:877-662-2975
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist