Provider Demographics
NPI:1912625542
Name:HARO, MARCOS ANTONIO (CPHT)
Entity type:Individual
Prefix:MR
First Name:MARCOS
Middle Name:ANTONIO
Last Name:HARO
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 114TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-7705
Mailing Address - Country:US
Mailing Address - Phone:806-698-6828
Mailing Address - Fax:806-698-5983
Practice Address - Street 1:4405 114TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-7705
Practice Address - Country:US
Practice Address - Phone:806-698-6828
Practice Address - Fax:806-698-5983
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX298175183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician