Castillo, Martha Wallace

Castillo, Martha Wallace is an sole proprietor health care provider with primary practice located at 1901 Grandview Ave , El Paso TX 79902-5113. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Oncology. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Castillo, Martha Wallace can be contacted via phone (915) 747-4840.

Contact Information

Primary practice address
1901 Grandview Ave El Paso TX 79902-5113
Phone: (915) 747-4840
Fax: (915) 532-7116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4067 New Mexico
Pharmacy Service Providers / Oncology 1835X0200X 26202 Texas

Profile Details

NPI number 1073673844
LBN Legal business name Castillo, Martha Wallace
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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