| NPI | 1659932267 |
|---|---|
| Former Legal Business Name | RIO GRANDE PHARMACY, LLC |
| Doing Business As | RIO GRANDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL DEMOCK CEO 915-260-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-08-06 |