Provider Demographics
NPI:1508030602
Name:PEREZ, NOE OSCAR JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:NOE
Middle Name:OSCAR
Last Name:PEREZ
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 S 18TH AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4716
Mailing Address - Country:US
Mailing Address - Phone:956-393-2000
Mailing Address - Fax:956-393-2010
Practice Address - Street 1:404 S 18TH AVE
Practice Address - Street 2:SUITE G
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4716
Practice Address - Country:US
Practice Address - Phone:956-393-2000
Practice Address - Fax:956-393-2010
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist