Organization
OSCAR ROSA
Active
Other names
OSCARS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR ROSA (OWNER)
(956) 583-7999
Entity
Organization
Contact information
Practice address
2116 W GRIFFIN PKWY, PALMVIEW, TX 78572-9732
(956) 583-7999
(956) 585-6176
Mailing address
2116 W GRIFFIN PKWY, PALMVIEW, TX 78572-9732
(956) 583-7999
(956) 585-6176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4512768
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
03/15/2012
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