Provider Demographics
NPI:1336732577
Name:GARZA, ADALBERTO JR (RPH)
Entity Type:Individual
Prefix:
First Name:ADALBERTO
Middle Name:
Last Name:GARZA
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 BICENTENNIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-4476
Mailing Address - Country:US
Mailing Address - Phone:702-260-8419
Mailing Address - Fax:702-617-9465
Practice Address - Street 1:2830 BICENTENNIAL PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-4476
Practice Address - Country:US
Practice Address - Phone:702-260-8419
Practice Address - Fax:702-617-9465
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist