Edmundo Vivanco
NPI #1609747104 in Horizon City, Texas
Provider Information
- NPI Number
- 1609747104
- Entity Type
- Individual
- Name
- Edmundo Vivanco
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 16, 2025
- Last Updated
- Sep 16, 2025
Practice Location
- Address
- 14300 HORIZON BLVD
- City
- Horizon City
- State
- Texas
- ZIP Code
- 79928-8527
- Phone
- (915) 852-1561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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