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NPI Code Detail

MEDICARE: SAENZ MEDICAL PHARMACY AT

MEDICARE: SAENZ MEDICAL PHARMACY AT
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy24388TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12098751OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306973532
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAENZ MEDICAL PHARMACY AT
Provider Business Mailing Address
First Line : 2821 MICHAELANGELO DR
Second Line : STE 103
City : EDINBURG
State : TX
Zip : 78539-1404
Country : US
Telephone Number : 956-618-4500
Fax Number : 956-687-5531
Provider Business Practice Location Address
First Line : 2821 MICHAELANGELO DR
Second Line : STE 103
City : EDINBURG
State : TX
Zip : 78539-1404
Country : US
Telephone Number : 956-618-4500
Fax Number : 956-687-5531
Authorized Official
Title or Position : OWNER, AO
Name : JESUS SAENZ
Credential : RPH
Telephone Number : 956-618-4500
Provider Enumeration Date : 02/27/2007
Last Update Date : 11/09/2015

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1275724882 — JORGE A ORTEGON MD PA
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Directions to “SAENZ MEDICAL PHARMACY AT ” Practice Location

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