Provider Demographics
NPI:1083219414
Name:ARREDONDO, FRANK G (RPH)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:G
Last Name:ARREDONDO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5616
Mailing Address - Country:US
Mailing Address - Phone:956-802-4772
Mailing Address - Fax:
Practice Address - Street 1:7500 N 19TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5616
Practice Address - Country:US
Practice Address - Phone:956-802-4772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist