Healthcare Provider Details

I. General information

NPI: 1841314101
Provider Name (Legal Business Name): RUSH PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S CYNTHIA ST
MCALLEN TX
78503-1278
US

IV. Provider business mailing address

2001 S CYNTHIA ST SUITE B
MCALLEN TX
78503-1278
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-8800
  • Fax: 956-661-8801
Mailing address:
  • Phone: 956-661-8800
  • Fax: 956-661-8801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number26455
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AGUSTIN GARCIA
Title or Position: DIRECTOR
Credential: BS
Phone: 956-802-1288