Healthcare Provider Details
I. General information
NPI: 1104473701
Provider Name (Legal Business Name): RIOS PHARMACEUTICALS LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2019
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
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
- Phone: 956-849-1811
- Fax: 956-849-3843
- Phone: 956-849-1811
- Fax: 956-843-3843
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JESUS
RIOS
JR.
Title or Position: PRESIDENT
Credential: R. PH.
Phone: 956-849-1811