Organization
RIO GRANDE PHARMACY, LLC
Active
Other names
Rio Grande Pharmacy, Rio Grande Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DEMOCK (CEO)
(915) 260-8555
Entity
Organization
Contact information
Practice address
5500 DONIPHAN DR. STE 201-202, EL PASO, TX 79932
(915) 260-8555
(915) 304-0374
Mailing address
5500 DONIPHAN DR. STE 201-202, EL PASO, TX 79932
(915) 260-8555
(915) 304-0374
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
08/06/2024
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