Provider Demographics
NPI:1295040095
Name:RENDON, MANUEL II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:
Last Name:RENDON
Suffix:II
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 1:3301 N K CTR
Mailing Address - Street 2:APT. A206
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1528
Mailing Address - Country:US
Mailing Address - Phone:956-867-6467
Mailing Address - Fax:
Practice Address - Street 1:3601 PECAN BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3512
Practice Address - Country:US
Practice Address - Phone:956-971-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist