Provider Demographics
NPI:1558160226
Name:CELSAN LLC
Entity type:Organization
Organization Name:CELSAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:G
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:956-534-6990
Mailing Address - Street 1:202 PALMVIEW DR STE 2
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-9395
Mailing Address - Country:US
Mailing Address - Phone:956-352-6485
Mailing Address - Fax:
Practice Address - Street 1:202 PALMVIEW DR STE 2
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-9395
Practice Address - Country:US
Practice Address - Phone:956-352-6485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy