Healthcare Provider Details

I. General information

NPI: 1659660033
Provider Name (Legal Business Name): RBJ PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15035 SOUTHWEST FWY
SUGAR LAND TX
77478-5018
US

IV. Provider business mailing address

15035 SOUTHWEST FWY
SUGAR LAND TX
77478-5018
US

V. Phone/Fax

Practice location:
  • Phone: 281-344-5010
  • Fax: 281-344-5020
Mailing address:
  • Phone: 281-238-5010
  • Fax: 205-970-6766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number27413
License Number StateTX

VIII. Authorized Official

Name: BARBARA WEITER
Title or Position: MANAGER
Credential:
Phone: 205-970-2263