Provider Demographics
NPI:1154970663
Name:SAENZ MEDICAL PHARMACY NOLANA, INC
Entity type:Organization
Organization Name:SAENZ MEDICAL PHARMACY NOLANA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-630-6465
Mailing Address - Street 1:801 E NOLANA AVE STE 22
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6106
Mailing Address - Country:US
Mailing Address - Phone:956-687-2500
Mailing Address - Fax:956-971-0400
Practice Address - Street 1:801 E NOLANA AVE STE 22
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6106
Practice Address - Country:US
Practice Address - Phone:956-687-2500
Practice Address - Fax:956-971-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152290601Medicaid
TX144910Medicaid
TX148228Medicaid