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NPI Code Detail

MEDICARE: MR. RENE GARZORIA R.PH.

MEDICARE: MR. RENE GARZORIA R.PH.
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
1183500000XPharmacist31512TX

General Provider Information

NPI Number : 1518272244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RENE GARZORIA R.PH.
Provider Business Mailing Address
First Line : 144 SAN DIEGO AVE
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78526-1857
Country : US
Telephone Number : 956-371-5641
Fax Number : 956-574-0442
Provider Business Practice Location Address
First Line : 2155 PAREDES LINE RD
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1609
Country : US
Telephone Number : 956-574-9710
Fax Number : 956-574-0442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2010
Last Update Date : 08/18/2010

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