Provider Demographics
NPI:1467763292
Name:GIL, EDGARDO JAVIER JR (BS, RPH)
Entity Type:Individual
Prefix:MR
First Name:EDGARDO
Middle Name:JAVIER
Last Name:GIL
Suffix:JR
Gender:M
Credentials:BS, RPH
Other - Prefix:MR
Other - First Name:EDGARDO
Other - Middle Name:JAVIER
Other - Last Name:GIL-HARO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS, RPH
Mailing Address - Street 1:2015 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-8044
Mailing Address - Country:US
Mailing Address - Phone:713-873-4125
Mailing Address - Fax:713-873-4126
Practice Address - Street 1:2015 THOMAS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-8044
Practice Address - Country:US
Practice Address - Phone:713-873-4125
Practice Address - Fax:713-873-4126
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-26
Last Update Date:2010-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist