Provider Demographics
NPI:1154169332
Name:BROWNSVILLE RX LLC
Entity type:Organization
Organization Name:BROWNSVILLE RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOKESWARA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KALAKOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-542-5100
Mailing Address - Street 1:1365 E RUBEN TORRES SR BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-0964
Mailing Address - Country:US
Mailing Address - Phone:956-542-5100
Mailing Address - Fax:956-542-5103
Practice Address - Street 1:1365 E RUBEN TORRES SR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-0964
Practice Address - Country:US
Practice Address - Phone:956-542-5100
Practice Address - Fax:956-542-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35422OtherTEXAS STATE BOARD OF PHARMACY