Provider Demographics
NPI:1770115818
Name:GARZA, ROMUALDO (PHARMACIST)
Entity type:Individual
Prefix:
First Name:ROMUALDO
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E EXPRESSWAY 83 STE 1
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-8304
Mailing Address - Country:US
Mailing Address - Phone:956-585-2704
Mailing Address - Fax:956-585-3411
Practice Address - Street 1:1000 E EXPRESSWAY 83 STE 1
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560-8304
Practice Address - Country:US
Practice Address - Phone:956-585-2704
Practice Address - Fax:956-585-3411
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist