Provider Demographics
NPI:1770020281
Name:MARGO, YVONNE MICHELLE (RPH)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:MICHELLE
Last Name:MARGO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 N MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2726
Mailing Address - Country:US
Mailing Address - Phone:956-464-4131
Mailing Address - Fax:956-464-4181
Practice Address - Street 1:605 N MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2726
Practice Address - Country:US
Practice Address - Phone:956-464-4131
Practice Address - Fax:956-464-4181
Is Sole Proprietor?:No
Enumeration Date:2017-01-22
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist