Pedroza, Simon V

Pedroza, Simon V is an individual health care provider with primary practice located at 3303 N Main St , Houston TX 77009-5637. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Pedroza, Simon V can be contacted via phone (713) 222-6650.

Contact Information

Primary practice address
3303 N Main St Houston TX 77009-5637
Phone: (713) 222-6650
Fax: (713) 225-6026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 18422 Texas
Pharmacy Service Providers / Pharmacist 183500000X 24063 Texas
Pharmacy Service Providers / Pharmacist 183500000X 19069 Texas
Pharmacy Service Providers / Pharmacy Technician 183700000X 118736 Texas
Pharmacy Service Providers / Pharmacy Technician 183700000X 118700 Texas

Profile Details

NPI number 1295881142
LBN Legal business name Pedroza, Simon V
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295881142 NPPES
Texas MEDICAID 143700

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