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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

Details

NameValue
NPI1154970663
Enumeration Date2019-09-06
NPI TypeNPI-2 Organization
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX144910
MEDICAIDTX148228
MEDICAIDTX152290601
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 261Q00000X - Clinic/Center
No 3336L0003X - Pharmacy - Long Term Care Pharmacy