Provider Demographics
NPI:1215705405
Name:APARICIO, RAFAEL N/A JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:N/A
Last Name:APARICIO
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 E MAIN ST # 336
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-4799
Mailing Address - Country:US
Mailing Address - Phone:830-773-0420
Mailing Address - Fax:
Practice Address - Street 1:2135 E MAIN ST # 336
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-4799
Practice Address - Country:US
Practice Address - Phone:830-773-0420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist