MEDICARE: MARIO CARDENAS PHARMD

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	55026	TX

General Provider Information

NPI Number	:	1457757817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO CARDENAS PHARMD

Provider Business Mailing Address
First Line	:	2213 S 45TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-8107
Country	:	US
Telephone Number	:	956-655-8092
Fax Number	:

Provider Business Practice Location Address
First Line	:	2213 S 45TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-8107
Country	:	US
Telephone Number	:	956-655-8092
Fax Number	:

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

Provider Enumeration Date	:	11/13/2014
Last Update Date	:	11/13/2014

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Directions to “ MARIO CARDENAS PHARMD” Practice Location

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