Provider Demographics
NPI:1497086995
Name:MUNIZ, JOSE ROBERTO JR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ROBERTO
Last Name:MUNIZ
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 1:1117 S COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7706
Mailing Address - Country:US
Mailing Address - Phone:956-426-7153
Mailing Address - Fax:956-423-2955
Practice Address - Street 1:1117 S COMMERCE ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7706
Practice Address - Country:US
Practice Address - Phone:956-426-7153
Practice Address - Fax:956-423-2955
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist