Healthcare Provider Details

I. General information

NPI: 1538496377
Provider Name (Legal Business Name): RENE ALEJO PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2009
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 N LOOP DR
SOCORRO TX
79927-4411
US

IV. Provider business mailing address

13780 PASEO VERDE DR
HORIZON CITY TX
79928-8426
US

V. Phone/Fax

Practice location:
  • Phone: 915-860-1315
  • Fax: 915-860-1338
Mailing address:
  • Phone: 915-539-8774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43409
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: