Provider Demographics
NPI:1942337100
Name:SAENZ MEDICAL PHARMACY NORTH,LLC
Entity Type:Organization
Organization Name:SAENZ MEDICAL PHARMACY NORTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-928-0911
Mailing Address - Street 1:6900 N 10TH ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3198
Mailing Address - Country:US
Mailing Address - Phone:956-928-0911
Mailing Address - Fax:956-928-1700
Practice Address - Street 1:6900 N 10TH ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3198
Practice Address - Country:US
Practice Address - Phone:956-928-0911
Practice Address - Fax:956-928-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX171003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX014325701Medicaid
TX1225640001Medicare NSC