Provider Demographics
NPI:1568645273
Name:RX S & P INC
Entity Type:Organization
Organization Name:RX S & P INC
Other - Org Name:ST ROSE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-369-6672
Mailing Address - Street 1:PO BOX 3749
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:909 BUSINESS PARK DR
Practice Address - Street 2:STE 2
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6052
Practice Address - Country:US
Practice Address - Phone:956-424-0057
Practice Address - Fax:956-424-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX258243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4547088OtherNCPDP PROVIDER IDENTIFICATION NUMBER