Provider Demographics
NPI:1225275696
Name:SAENZ, ALYDIA SCHATZ (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALYDIA
Middle Name:SCHATZ
Last Name:SAENZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:
Mailing Address - City:WHITEWRIGHT
Mailing Address - State:TX
Mailing Address - Zip Code:75491-2141
Mailing Address - Country:US
Mailing Address - Phone:903-364-5537
Mailing Address - Fax:903-364-5774
Practice Address - Street 1:417 S STATE HWY 69
Practice Address - Street 2:
Practice Address - City:WHITEWRIGHT
Practice Address - State:TX
Practice Address - Zip Code:75491-2141
Practice Address - Country:US
Practice Address - Phone:903-364-5537
Practice Address - Fax:903-364-5774
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145354Medicaid