Riddle RX LP

Organization Active NPI Community/Retail Pharmacy · Dimmitt, TX

NPI 1194837005 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1194837005
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
21244 (TX)
Legal business name
RIDDLE RX LP
Practice address
201 NW 2ND St
Dimmitt, TX 79027-1803
Phone
(806) 647-3151
Fax
(806) 647-3313
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

Name
Jon Riddle, RPH
Title
General Partner
Phone
(806) 476-3151

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Dimmitt Pharmacy (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 21244 TX Yes

Addresses

Primary practice location

201 NW 2ND St
Dimmitt, TX 79027-1803

Mailing address

201 NW 2ND St
Dimmitt, TX 79027-1803
Phone (806) 647-3151

Other identifiers

IdentifierTypeStateIssuer
145116MedicaidTX
2095756OtherPK

Other names

  • DIMMITT PHARMACY Doing business as

Other providers in Dimmitt, TX

All providers in Dimmitt, TX · Community/Retail Pharmacy in Texas

Sources for this page

Verify at the official NPI Registry.