MEDICARE: ADALBERTO GARZA JR. RPH

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	183500000X	Pharmacist	18029	NV

General Provider Information

NPI Number	:	1336732577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADALBERTO GARZA JR. RPH

Provider Business Mailing Address
First Line	:	2830 BICENTENNIAL PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-4476
Country	:	US
Telephone Number	:	702-260-8419
Fax Number	:	702-617-9465

Provider Business Practice Location Address
First Line	:	2830 BICENTENNIAL PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-4476
Country	:	US
Telephone Number	:	702-260-8419
Fax Number	:	702-617-9465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2021
Last Update Date	:	02/18/2021

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