Organization
RGV COMPOUNDING PHARMACY
Active
Other names
The Pharmacy at Uptown
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BENITEZ (MANAGING MEMBER)
(956) 544-0237
Entity
Organization
Contact information
Practice address
5460 PAREDES LINE RD STE 199, BROWNSVILLE, TX 78526-9742
(956) 621-0228
(956) 621-0668
Mailing address
100 UPTOWN AVE # 110-B, BROWNSVILLE, TX 78520-7559
(956) 544-0237
(956) 544-0239
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30157
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154079
PK
—
Enumeration date
08/29/2015
Last updated
07/18/2022
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