Provider Demographics
NPI:1710065685
Name:2 HIJOS INC
Entity Type:Organization
Organization Name:2 HIJOS INC
Other - Org Name:SARAS PHARMACY AND GIFT CORNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PIC
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-583-0404
Mailing Address - Street 1:1300 S BRYAN RD
Mailing Address - Street 2:STE 101
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6626
Mailing Address - Country:US
Mailing Address - Phone:956-583-0404
Mailing Address - Fax:956-583-2265
Practice Address - Street 1:1300 S BRYAN RD
Practice Address - Street 2:STE 101
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6626
Practice Address - Country:US
Practice Address - Phone:956-583-0404
Practice Address - Fax:956-583-2265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253463336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183733802Medicaid
4543129OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TX145758Medicaid
TX011001701Medicaid
TX183733801Medicaid
TX011001701Medicaid