Provider Demographics
NPI:1932258860
Name:ARTHUR J MASSO
Entity Type:Organization
Organization Name:ARTHUR J MASSO
Other - Org Name:ARTS SOUTHMOST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JULIAN
Authorized Official - Last Name:MASSO
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:956-542-7173
Mailing Address - Street 1:3855 SOUTHMOST RD FL 2
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4863
Mailing Address - Country:US
Mailing Address - Phone:956-542-7173
Mailing Address - Fax:956-542-7178
Practice Address - Street 1:3855 SOUTHMOST RD FL 2
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4863
Practice Address - Country:US
Practice Address - Phone:956-542-7173
Practice Address - Fax:956-542-7178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145696Medicaid