Provider Demographics
NPI:1508106568
Name:HUIZAR, FRANK M SR (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:M
Last Name:HUIZAR
Suffix:SR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-1851
Mailing Address - Country:US
Mailing Address - Phone:830-393-8135
Mailing Address - Fax:830-393-8144
Practice Address - Street 1:925 10TH ST
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-1851
Practice Address - Country:US
Practice Address - Phone:830-393-8135
Practice Address - Fax:830-393-8144
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26107183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist