Organization
ROCK PHARMACY LLC
Active
Other names
ROCK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ORAEKWE PHARM D (OWNER/PRESIDENT/PIC)
(830) 357-5052
Entity
Organization
Contact information
Practice address
1201 S MAIN ST, SUITE 121, BOERNE, TX 78006-2833
(830) 357-5052
(830) 357-5053
Mailing address
PO BOX 2422, BOERNE, TX 78006-1400
(830) 357-5052
(830) 357-5053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27952
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146572
—
TX
01
—
2134343
PK
—
Enumeration date
03/22/2012
Last updated
01/20/2015
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