Provider Demographics
NPI:1750609335
Name:PALIZO, PEDRO ANTONIO (PHARM D)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:ANTONIO
Last Name:PALIZO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W DEL MAR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2205
Mailing Address - Country:US
Mailing Address - Phone:956-712-3344
Mailing Address - Fax:
Practice Address - Street 1:210 W DEL MAR BLVD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2205
Practice Address - Country:US
Practice Address - Phone:956-712-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist