National Provider Identifier Database

GREEN RAVEN INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

GREEN RAVEN INC
1623 E HIGHWAY 83
RIO GRANDE CITY, TX78582
Phone: 956-488-1660
Fax: 956-488-1491
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for GREEN RAVEN INC

NPI Number 1134222482
Legal business name
LBN
GREEN RAVEN INC
Authorized official JUAN GARCIA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/05/2006
Last updated 04/29/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 25613
  • TX Medicaid: 4531376
  • Other: 2099571 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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