Provider Demographics
NPI:1861257057
Name:MARGO RX LLC
Entity type:Organization
Organization Name:MARGO RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE M
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MARGO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:195-646-4413
Mailing Address - Street 1:605 N MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2726
Mailing Address - Country:US
Mailing Address - Phone:956-464-4131
Mailing Address - Fax:956-464-4181
Practice Address - Street 1:605 N MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2726
Practice Address - Country:US
Practice Address - Phone:956-464-4131
Practice Address - Fax:956-464-4181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy