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NPI Code Detail

MEDICARE: JOSE L PENA RPH

MEDICARE:   JOSE L PENA  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
1183500000XPharmacist25347TX

General Provider Information

NPI Number : 1467146027
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE L PENA RPH
Provider Business Mailing Address
First Line : 1410 MULBERRY DR
Second Line :
City : WESLACO
State : TX
Zip : 78596-5505
Country : US
Telephone Number : 361-813-6706
Fax Number :
Provider Business Practice Location Address
First Line : 202 W RICE ST
Second Line :
City : FALFURRIAS
State : TX
Zip : 78355-3704
Country : US
Telephone Number : 361-325-2662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2023
Last Update Date : 06/06/2023

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Directions to “ JOSE L PENA RPH” Practice Location

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