Provider Demographics
NPI:1003119090
Name:RAGL MEDICAL INVESTMENTS LLC
Entity Type:Organization
Organization Name:RAGL MEDICAL INVESTMENTS LLC
Other - Org Name:MONTE CRISTO PHARMACY STORE 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:ENRIQUEZ
Authorized Official - Last Name:FONSECA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-380-6565
Mailing Address - Street 1:1620 E 8TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5883
Mailing Address - Country:US
Mailing Address - Phone:956-380-6565
Mailing Address - Fax:956-380-6566
Practice Address - Street 1:1620 E 8TH ST STE 2
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5883
Practice Address - Country:US
Practice Address - Phone:956-380-6565
Practice Address - Fax:956-380-6566
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAGL MEDICAL INVESTMENETS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy