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

Edmundo Vivanco

Individual provider Pharmacist · NPI 1609747104

Edmundo Vivanco is a Pharmacist in Horizon City, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

14300 Horizon Blvd
Horizon City, TX 79928-8527
Phone: (915) 852-1561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 75935 (TX)

Record details

NPI number1609747104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address6401 Calle Roja, El Paso, TX 79912-3423

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