Organization
RUIZ PHARMACY
Active
Other names
Ruiz Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO RUIZ (PHARMACIST/OWNER)
(956) 408-4001
Entity
Organization
Contact information
Practice address
1405 E JEFFERSON ST, BROWNSVILLE, TX 78520-5755
(956) 408-4001
Mailing address
1405 E JEFFERSON ST, BROWNSVILLE, TX 78520-5755
(956) 408-4001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28700
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145145
PK
—
Enumeration date
04/10/2014
Last updated
04/10/2014
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