Provider Demographics
NPI:1326870635
Name:R & R STARR AMIGOS LLC
Entity type:Organization
Organization Name:R & R STARR AMIGOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CIJO
Authorized Official - Middle Name:C
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-579-5750
Mailing Address - Street 1:3406 PLANTATION GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2847
Mailing Address - Country:US
Mailing Address - Phone:956-847-8000
Mailing Address - Fax:956-847-8001
Practice Address - Street 1:2849 E GRANT ST
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-8914
Practice Address - Country:US
Practice Address - Phone:956-847-8000
Practice Address - Fax:956-847-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy