Provider Demographics
NPI:1306470075
Name:RIO VALLEY RX LLC
Entity type:Organization
Organization Name:RIO VALLEY RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-239-6322
Mailing Address - Street 1:16215 STUEBNER AIRLINE RD # 500
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7325
Mailing Address - Country:US
Mailing Address - Phone:281-547-8923
Mailing Address - Fax:281-547-8924
Practice Address - Street 1:16215 STUEBNER AIRLINE RD # 500
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7325
Practice Address - Country:US
Practice Address - Phone:281-547-8923
Practice Address - Fax:281-547-8924
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIO VALLEY RX
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-02
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy