Provider Demographics
NPI:1922608587
Name:SOZA, OFILIA IRENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OFILIA
Middle Name:IRENE
Last Name:SOZA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SOLAR DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-2332
Mailing Address - Country:US
Mailing Address - Phone:956-321-9764
Mailing Address - Fax:
Practice Address - Street 1:1006 N BRYAN RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0240
Practice Address - Country:US
Practice Address - Phone:956-321-9464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist