Provider Demographics
NPI:1114630589
Name:ROHAILREZA INC
Entity Type:Organization
Organization Name:ROHAILREZA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MALIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-860-2834
Mailing Address - Street 1:18 GRUENE PARK DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2460
Mailing Address - Country:US
Mailing Address - Phone:830-387-4914
Mailing Address - Fax:830-387-4759
Practice Address - Street 1:18 GRUENE PARK DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2460
Practice Address - Country:US
Practice Address - Phone:830-387-4914
Practice Address - Fax:830-387-4759
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROHAILREZA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy