Organization
UNIVERSITY PHARMACY LLC
Active
Other names
San Juan Drug
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIO RODRIGUEZ RPH (PHARMACIST IN CHARGE)
(956) 961-4870
Entity
Organization
Contact information
Practice address
1205 N RAUL LONGORIA RD, STE F, SAN JUAN, TX 78589
(956) 961-4870
(956) 961-4470
Mailing address
1205 N RAUL LONGORIA RD, STE F, SAN JUAN, TX 78589-3720
(956) 961-4870
(956) 961-4470
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142907
PK
—
Enumeration date
01/17/2007
Last updated
03/02/2022
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