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Contact Information

FREDSRX LLC
1201 CALLE MILAGROS
SUITE B
BROWNSVILLE, TX78526
 Phone: 956-542-4003
 Fax: 956-542-4004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FREDSRX LLC

NPI Number 1184931040
LBN Legal business name FREDSRX LLC
Authorized official SANTOS GONZALEZ - (OWNER / CORP. PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2010
Last updated 10/22/2010 - About 16 years ago
Identifiers
TX License # 27105
Other 5901310 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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