Horace Favila, PHARM.D.
Individual provider Active NPI Pharmacist · Mico, TX
NPI 1114255148 · NPPES record last updated Dec 2, 2009
Key facts
- NPI
- 1114255148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 45416 (TX)
- Practice address
- 1435 County Road 2801 E
Mico, TX 78056-5549 - Phone
- (817) 800-7428
- NPI assigned
- Dec 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45416 | TX | Yes |
Addresses
Primary practice location
1435 County Road 2801 E
Mico, TX 78056-5549
Mailing address
1435 County Road 2801 E
Mico, TX 78056-5549
Phone (817) 800-7428
Other providers in Mico, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.