Organization
SAN BENITO RX LLC
Active
Other names
FRY'S PRESCRIPTION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOKESWARA R KALAKOTI (MANAGER)
(956) 399-2453
Entity
Organization
Contact information
Practice address
311 N SAM HOUSTON BLVD, SAN BENITO, TX 78586-4656
(956) 399-2453
(956) 399-2959
Mailing address
311 N SAM HOUSTON BLVD, SAN BENITO, TX 78586-4656
(956) 399-2453
(956) 399-2959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35420
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
07/19/2024
Last updated
07/25/2024
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