Provider Demographics
NPI:1043996648
Name:RFG PHARMACY, LLC
Entity Type:Organization
Organization Name:RFG PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-277-8528
Mailing Address - Street 1:1105 E LEVEE ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-7203
Mailing Address - Country:US
Mailing Address - Phone:888-277-8528
Mailing Address - Fax:214-845-6142
Practice Address - Street 1:1105 E LEVEE ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-7203
Practice Address - Country:US
Practice Address - Phone:888-277-8528
Practice Address - Fax:214-845-6142
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROOTS FOOD GROUP HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals