Organization
SAENZ MEDICAL PHARMACY OF PENITAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS ALBERTO SAENZ RPH (OWNER VICE PRESIDENT)
(956) 687-2500
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
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011088401
—
TX
05
—
015821401
—
TX
05
—
144296
—
TX
05
—
148231
—
TX
Enumeration date
02/22/2007
Last updated
11/16/2023
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