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NPI Code Detail

MEDICARE: MARIO A DE LA GARZA RPH

MEDICARE:   MARIO A DE LA GARZA  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
1183500000XPharmacist77144TX

General Provider Information

NPI Number : 1699608299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO A DE LA GARZA RPH
Provider Business Mailing Address
First Line : 3900 GREEN JAY DR
Second Line :
City : MISSION
State : TX
Zip : 78572-4985
Country : US
Telephone Number : 956-340-2204
Fax Number :
Provider Business Practice Location Address
First Line : 2427 E INTERSTATE HIGHWAY 2
Second Line :
City : MISSION
State : TX
Zip : 78572-8354
Country : US
Telephone Number : 956-340-2204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ MARIO A DE LA GARZA RPH” Practice Location

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