Provider Demographics
NPI:1578734240
Name:MS ROB ENTERPRISES INC
Entity Type:Organization
Organization Name:MS ROB ENTERPRISES INC
Other - Org Name:PLATINUM RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-667-6777
Mailing Address - Street 1:5420 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-667-6777
Mailing Address - Fax:713-667-6796
Practice Address - Street 1:5420 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 1500
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-667-6777
Practice Address - Fax:713-667-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25954333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145902Medicaid