Provider Demographics
NPI:1205641321
Name:MARIO'S RX PHARMACY LLC
Entity type:Organization
Organization Name:MARIO'S RX PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:G
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-534-6990
Mailing Address - Street 1:6201 S CAGE BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5612
Mailing Address - Country:US
Mailing Address - Phone:956-702-5050
Mailing Address - Fax:956-702-5067
Practice Address - Street 1:6201 S CAGE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5612
Practice Address - Country:US
Practice Address - Phone:956-702-5050
Practice Address - Fax:956-702-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy