Organization
SAUCEDO PHARMACY INC
Active
Other names
Roger's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SAUCEDO PHARM.D. (OWNER/PHARMACIST IN CHARGE)
(806) 935-7494
Entity
Organization
Contact information
Practice address
1021 E 1ST ST, DUMAS, TX 79029
(806) 935-7494
(806) 935-5805
Mailing address
1021 E 1ST ST, DUMAS, TX 79029-3340
(806) 935-7494
(806) 935-5805
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149822
—
TX
Enumeration date
08/16/2006
Last updated
10/14/2022
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