IndividualActive
Juan Medina
NPI 1659961118 · Pharmacist · Mathis, TX
Provider details
- NPI number
- 1659961118
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 67498 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
213 E San Patricio Ave
Mathis, TX 78368-2347
Phone: (361) 547-2577
Approximate (ZIP-level) locationGet directions
Mailing address
213 E San Patricio Ave
Mathis, TX 78368-2347
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.