Provider Demographics
NPI:1457941122
Name:GARCIA, MAXIMILIANO JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:MAXIMILIANO
Middle Name:
Last Name:GARCIA
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 1:2626 SPENCER HWY STE 140
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1021
Mailing Address - Country:US
Mailing Address - Phone:832-831-2082
Mailing Address - Fax:
Practice Address - Street 1:2626 SPENCER HWY STE 140
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1021
Practice Address - Country:US
Practice Address - Phone:832-831-2082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37019333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy