Provider Demographics
NPI:1316484827
Name:SOLIS, MARIO ALFONSO JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:ALFONSO
Last Name:SOLIS
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 1:3601 PECAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3512
Mailing Address - Country:US
Mailing Address - Phone:956-971-9131
Mailing Address - Fax:956-971-9304
Practice Address - Street 1:3601 PECAN BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3512
Practice Address - Country:US
Practice Address - Phone:956-971-9131
Practice Address - Fax:956-971-9304
Is Sole Proprietor?:No
Enumeration Date:2017-01-22
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist