Provider Information for 1275969743
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RAWLS RX, LLC
Other Names:Doing Business As:RICHARD'S PHARMACYOrganization Subpart: NO
NPI: 1275969743
Last Updated: 2013-09-17
Certification Date:
Certification Date:
Details
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| NPI | 1275969743 | ||||||||||||||||||||
| Enumeration Date | 2013-09-17 | ||||||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Authorized Official Information | Name: JAIME BARRERA Title: Managing Partner/Owner Phone: 9565847772 | ||||||||||||||||||||
| Mailing Address | 1112 E GRIFFIN PKWY SUITE B MISSION, TX 78572-2408 United States Phone: 956-581-4200 | Fax:956-581-4204 | ||||||||||||||||||||
| Primary Practice Address | 1112 E GRIFFIN PKWY STE B MISSION, TX 78572-2409 United States Phone: 956-581-4200 | Fax:956-581-4204 | ||||||||||||||||||||
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