Provider Demographics
NPI:1548030646
Name:ASTRO 5 PHARMACY
Entity type:Organization
Organization Name:ASTRO 5 PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-582-8214
Mailing Address - Street 1:620 E LAMAR ST STE A
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-3900
Mailing Address - Country:US
Mailing Address - Phone:205-582-8214
Mailing Address - Fax:
Practice Address - Street 1:620 E LAMAR ST STE A
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-3900
Practice Address - Country:US
Practice Address - Phone:205-582-8214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy