Most Relevant Information
Provider Data
| NPI Number: | 1003417320 |
| Provider Name: | IVAN JORGE JUAREZ PHARMD, RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 50106 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 11/03/2020 |
Provider Practice Location
819 N OAK ST
PEARSALL
TX
780613422
Practice Location Phone/Fax
| Phone: | 8305917934 |
| Fax: |
Provider Mailing Location
522 AVENUE A APT 1302
SAN ANTONIO
TX
782151281
Provider Mailing Phone/Fax
| Phone: | 8305917934 |
| Fax: |