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Organization
SAENZ MEDICAL PHARMACY OF PENITAS, INC.
Active
Organization
SAENZ MEDICAL PHARMACY OF PENITAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS ALBERTO SAENZ RPH (OWNER/VICE PRESIDENT)
(956) 585-2704
Entity
Organization
Contact information
Practice address
1000 E EXPRESSWAY 83 STE 1, LA JOYA, TX 78560-8304
(956) 585-2704
(956) 585-3411
Mailing address
PO BOX 214, PENITAS, TX 78576-0214
(956) 585-2704
(956) 585-3411
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11088401
—
TX
05
—
144296
—
TX
05
—
148231
—
TX
Enumeration date
09/06/2019
Last updated
10/29/2020
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