Provider Demographics
NPI:1083192017
Name:GARZA, JOSE EDUARDO JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:EDUARDO
Last Name:GARZA
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 NEW CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7742
Mailing Address - Country:US
Mailing Address - Phone:956-771-9365
Mailing Address - Fax:
Practice Address - Street 1:2310 E SAUNDERS ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5435
Practice Address - Country:US
Practice Address - Phone:956-724-1141
Practice Address - Fax:956-728-7453
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist