Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Super Drug Mart Inc

Organization Pharmacist · NPI 1679623482

Super Drug Mart Inc is a Pharmacist in Lytle, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19010 Priest Blvd
Lytle, TX 78052
Phone: (830) 709-0360
Fax: (830) 709-0363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20307 (TX)

Record details

NPI number1679623482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Ibanez — Owner/Pharmacist · (210) 884-2543
Other names Super Drug Mart
NPI enumeratedJanuary 12, 2007
Last updated in NPPESMay 19, 2015
Mailing address19010 Priest Blvd, Suite 101, Lytle, TX 78052

Other providers in Lytle