Green Raven Inc in Rio Grande City - Community/retail Pharmacy
Green Raven Inc - NPI 1134222482
Green Raven Inc is a Community/retail Pharmacy in Rio Grande City, Texas. Green Raven Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Green Raven Inc is 1134222482. The last update date is 2023-04-13.
Green Raven Inc's current location address is 1623 E Highway 83, Rio Grande City, Texas. You can contact this provider via phone number 9564881660 and fax number 9564881491. The mailing address for Green Raven Inc is 1623 E Highway 83, Rio Grande City, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Raven Inc |
|---|---|
| Address | 1623 E Highway 83, Rio Grande City, Texas |
| Phone Number | 9564881660 |
| Fax Number | 9564881491 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Garcia Juan |
| Telephone Number | 9568493476 |
NPI Number Detail
| NPI Number | 1134222482 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2023-04-13 |
Provider Mailing Address Detail
| Address | 1623 E Highway 83 |
|---|---|
| City | Rio Grande City |
| State | Texas (TX) |
| Post Code | 78582 |
| Phone Number | 9564881660 |
| Fax Number | 9564881491 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 25613 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2099571 | PK |
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What is the Green Raven Inc's 1134222482?
The Green Raven Inc's NPI (National Provider Identifier) Number is 1134222482. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Green Raven Inc located?
The Green Raven Inc is located at 1623 E Highway 83, Rio Grande City, TX 78582.
What is the Green Raven Inc's specialty and taxonomy code?
The Green Raven Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
When was the Green Raven Inc's 1134222482 issued?
The Green Raven Inc's 1134222482 was issued on 2006-09-05.
When was the Green Raven Inc's information last updated?
The Green Raven Inc's information was last updated on 2023-04-13.