Super Rockwall Drugstore,lp

NPI #1467596817 in Rockwall, Texas

Provider Information

NPI Number
1467596817
Entity Type
Organization
Organization Name
Super Rockwall Drugstore,lp
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 19, 2007
Last Updated
Mar 11, 2015

Practice Location

Address
3021 RIDGE RD
Address 2
SUITE 103
State
Texas
ZIP Code
75032-5806
Phone
(972) 772-0500

Authorized Official

Name
MISS MARITES TALAVERA SERNA, RPH
Title
PRESIDENT
Phone
(972) 772-0500

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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