# SAUCEDO PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roger's Pharmacy Long-Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982156212
- **Authorized official:** JASON SAUCEDO (PRESIDENT/PHARMACIST IN CHARGE)
- **Authorized official phone:** (806) 935-7494

## Contact information

- **Practice address:** 1021 E 1ST ST, DUMAS, TX 79029
- **Practice address phone:** (806) 935-7494
- **Practice address fax:** (806) 935-5805
- **Mailing address:** 1021 E 1ST ST, DUMAS, TX 79029-3340
- **Mailing address phone:** (806) 935-7494
- **Mailing address fax:** (806) 935-5805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 31887 | TX | Yes |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 10/22/2022