Organization
BORDER RIVER INCORPORATED
Active
Other names
Popular Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JAMES (PHARMACY MANAGER)
(956) 317-1112
Entity
Organization
Contact information
Practice address
5326 E US HIGHWAY 83 STE A, RIO GRANDE CITY, TX 78582-9409
(956) 317-1112
(956) 317-1113
Mailing address
2504 SANTA ERICA ST, MISSION, TX 78572-7175
(956) 579-5750
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31878
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149745
—
TX
01
—
2176243
PK
—
Enumeration date
02/27/2018
Last updated
02/16/2021
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