Provider Demographics
NPI:1851943880
Name:C&R PHARMACY
Entity Type:Organization
Organization Name:C&R PHARMACY
Other - Org Name:C&R PHARMACY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CONCEPCION
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-975-2512
Mailing Address - Street 1:512 S WESTGATE DR STE G
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6296
Mailing Address - Country:US
Mailing Address - Phone:956-975-2512
Mailing Address - Fax:956-975-2515
Practice Address - Street 1:512 S WESTGATE DR STE G
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6296
Practice Address - Country:US
Practice Address - Phone:956-975-2512
Practice Address - Fax:956-975-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy