Provider Demographics
NPI:1548148182
Name:LINDBERG PHARMACY LTC
Entity type:Organization
Organization Name:LINDBERG PHARMACY LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:GILBERTO
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-687-6204
Mailing Address - Street 1:5203 S MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-687-6204
Mailing Address - Fax:
Practice Address - Street 1:5203 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-687-6204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSE GILBERTO TOVAR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy