Rose City Pharmacy Llc

LBN: Rose City Pharmacy Llc
Rose City Pharmacy Llc is an health care organization with primary practice located at 2130 W Grande Blvd , Tyler TX 75703-0563. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rose City Pharmacy Llc can be contacted via phone (903) 707-2034, or through Krezdorn, Wilson Lee via phone (903) 707-2034.

Contact Information

Primary practice address
2130 W Grande Blvd Tyler TX 75703-0563
Phone: (903) 707-2034
Fax: (903) 707-2036
Website:
Map and Directions
Authorized official contact:
Name: Krezdorn, Wilson Lee PHARMD
Phone: (903) 707-2034

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 31557 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X 31557 Texas

Profile Details

NPI number 1780101816
LBN Legal business name Rose City Pharmacy Llc
DBA Doing business as
Authorized official Krezdorn, Wilson Lee PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers