Healthcare Provider Details

I. General information

NPI: 1396714903
Provider Name (Legal Business Name): RIOS PHARMACEUTICALS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 N GRANT ST
ROMA TX
78584-5310
US

IV. Provider business mailing address

PO BOX 2945
ROMA TX
78584-2945
US

V. Phone/Fax

Practice location:
  • Phone: 956-849-1811
  • Fax: 956-849-3843
Mailing address:
  • Phone: 956-849-1811
  • Fax: 956-849-3843

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 TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number23167
License Number StateTX

VIII. Authorized Official

Name: MR. JESUS RIOS JR.
Title or Position: PHARMACIST/ OWNER
Credential: R.PH.
Phone: 956-849-1811