# SAENZ MEDICAL PHARMACY OF PENITAS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831748334
- **Authorized official:** JESUS ALBERTO SAENZ RPH (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (956) 585-2704

## Contact information

- **Practice address:** 1000 E EXPRESSWAY 83 STE 1, LA JOYA, TX 78560-8304
- **Practice address phone:** (956) 585-2704
- **Practice address fax:** (956) 585-3411
- **Mailing address:** PO BOX 214, PENITAS, TX 78576-0214
- **Mailing address phone:** (956) 585-2704
- **Mailing address fax:** (956) 585-3411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 10/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11088401 | — | TX |
| 05 | — | 144296 | — | TX |
| 05 | — | 148231 | — | TX |