Provider Demographics
NPI:1700181518
Name:ZARZAMORA HEALTHCARE LLC
Entity Type:Organization
Organization Name:ZARZAMORA HEALTHCARE LLC
Other - Org Name:RITE AWAY PHARMACY & MEDICAL SUPPLY # 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROHIT
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-297-8564
Mailing Address - Street 1:2716 SW MILITARY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1009
Mailing Address - Country:US
Mailing Address - Phone:210-927-3742
Mailing Address - Fax:210-927-3752
Practice Address - Street 1:2716 SW MILITARY DR STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1009
Practice Address - Country:US
Practice Address - Phone:210-927-3742
Practice Address - Fax:210-927-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX273433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5902336OtherNCPDP PROVIDER IDENTIFICATION NUMBER