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General NPI Number Information
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NPI Number | 1306470075
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Entity Type | Organization
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Legal Business Name | RIO VALLEY RX LLC
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 16215 STUEBNER AIRLINE RD # 500
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City | SPRING
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State | TX
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Zip | 77379-7325
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Country | US
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Telephone | 281-547-8923
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Fax | 281-547-8924
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Provider Business Mailing Address
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Address Line | 16215 STUEBNER AIRLINE RD # 500
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City | SPRING
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State | TX
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Zip | 77379-7325
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Country | US
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Telephone | 281-547-8923
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Fax | 281-547-8924
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Authorized Official
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Title or Position | OWNER
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Name | ALFREDO ORTEGA
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Credential |
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Telephone | 210-239-6322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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