Organization
LAMRX LLC
Active
Other names
Riverside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR ESPERICUETA RPH (OWNER/PRESIDENT)
(956) 638-1769
Entity
Organization
Contact information
Practice address
404 S VETERANS BLVD STE C, EDINBURG, TX 78539-4721
(956) 316-3588
(956) 316-3598
Mailing address
404 S VETERANS BLVD, SUITE C, EDINBURG, TX 78539-4716
(956) 316-3588
(956) 316-3598
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146654
—
TX
01
—
5906803
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/27/2012
Last updated
03/26/2013
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