Organization
RGV COMPOUNDING PHARMACY
Active
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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