MEDICARE: MARAS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1205640372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARAS PHARMACY LLC

Provider Business Mailing Address
First Line	:	1301 W SAM HOUSTON BLVD UNIT B
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5669
Country	:	US
Telephone Number	:	956-782-1156
Fax Number	:	956-782-2115

Provider Business Practice Location Address
First Line	:	1301 W SAM HOUSTON BLVD UNIT B
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5669
Country	:	US
Telephone Number	:	956-782-1156
Fax Number	:	956-782-2115

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	JOSE G VARGAS
Credential	:
Telephone Number	:	956-534-6990

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	02/06/2025

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Directions to “MARAS PHARMACY LLC ” Practice Location

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