Organization
OSCAR ROSA
Active
Other names
OSCARS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR ROSA RPH (OWNER)
(956) 488-8700
Entity
Organization
Contact information
Practice address
5322 E HWY 83, BLDG C SPACE 1, RIO GRANDE CITY, TX 78582-9461
(956) 488-8700
(956) 488-1728
Mailing address
5322 E HWY 83, BLDG C SPACE 1, RIO GRANDE CITY, TX 78582-9461
(956) 488-8700
(956) 488-1728
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144828
—
TX
01
—
4508531
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/28/2006
Last updated
03/15/2012
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