Provider Demographics
NPI:1538496377
Name:ALEJO, RENE (PHARM D)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:ALEJO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13780 PASEO VERDE DR
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-8426
Mailing Address - Country:US
Mailing Address - Phone:915-539-8774
Mailing Address - Fax:
Practice Address - Street 1:10850 N LOOP DR
Practice Address - Street 2:
Practice Address - City:SOCORRO
Practice Address - State:TX
Practice Address - Zip Code:79927-4411
Practice Address - Country:US
Practice Address - Phone:915-860-1315
Practice Address - Fax:915-860-1338
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist