Provider Information for 1154970663
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SAENZ MEDICAL PHARMACY NOLANA, INC
Organization Subpart: NO
NPI: 1154970663
Last Updated: 2024-10-08
Certification Date: 2024-10-08
Certification Date: 2024-10-08
Details
Name | Value | ||||||||||||||||
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NPI | 1154970663 | ||||||||||||||||
Enumeration Date | 2019-09-06 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: JESUS ALBERTO SAENZ RPH Title: OWNER Phone: 9566306465 | ||||||||||||||||
Mailing Address | 801 E NOLANA AVE STE 22 MCALLEN, TX 78504-6106 United States Phone: 956-687-2500 | Fax:956-971-0400 | ||||||||||||||||
Primary Practice Address | 801 E NOLANA AVE STE 22 MCALLEN, TX 78504-6106 United States Phone: 956-687-2500 | Fax:956-971-0400 | ||||||||||||||||
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