Provider Demographics
NPI:1578739926
Name:R & Y COMMUNITY PHARMACY,LLC
Entity Type:Organization
Organization Name:R & Y COMMUNITY PHARMACY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:RIEL
Authorized Official - Middle Name:NDUKAEGO
Authorized Official - Last Name:EMORDI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-777-7002
Mailing Address - Street 1:12659 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1331
Mailing Address - Country:US
Mailing Address - Phone:713-777-7002
Mailing Address - Fax:713-777-7008
Practice Address - Street 1:12659 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1331
Practice Address - Country:US
Practice Address - Phone:713-777-7002
Practice Address - Fax:713-777-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX265463336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy