Provider Demographics
NPI:1346366374
Name:RRI PHARMACY LLC DBA RUSHING AND GONZALEZ DRUG
Entity Type:Organization
Organization Name:RRI PHARMACY LLC DBA RUSHING AND GONZALEZ DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:361-664-4368
Mailing Address - Street 1:301 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4966
Mailing Address - Country:US
Mailing Address - Phone:361-664-4368
Mailing Address - Fax:361-664-4369
Practice Address - Street 1:301 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4966
Practice Address - Country:US
Practice Address - Phone:361-664-4368
Practice Address - Fax:361-664-4369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20761333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145044Medicaid