Organization
BROWNSVILLE CENTRAL RX LLC
Active
Other names
AUTREY PHARMACY 1
Organization subpart
No
Provider details
NPI number
Authorized official
LOKESWARA R KALAKOTI (MANAGER)
(956) 548-0801
Entity
Organization
Contact information
Practice address
1205 CENTRAL BLVD, BROWNSVILLE, TX 78520-7531
(956) 548-0801
(956) 548-0802
Mailing address
1205 CENTRAL BLVD, BROWNSVILLE, TX 78520-7531
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35421
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
07/19/2024
Last updated
07/23/2024
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