Rose City Pharmacy Llc
Long Term Care Pharmacy
2130 W Grande Blvd, Tyler
Texas, 75703-0563
903-707-2034 903-707-2036
Rose City Pharmacy Llc is a Long Term Care Pharmacy in Tyler, Texas. It is located at 2130 W Grande Blvd, Tyler and it's customer support contact number is 903-707-2034. The authorized person of Rose City Pharmacy Llc is Wilson L Krezdorn, PHARMD who is President/pharmacist of the pharmacy and his contact number is 903-707-2034.
Rose City Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Rose City Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Rose City Pharmacy Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 2130 W Grande Blvd, Tyler,
Texas, 75703-0563 |
| Phone: | 903-707-2034 |
| Fax: | 903-707-2036 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Wilson L Krezdorn |
| Credentials: | PHARMD |
| Position: | President/pharmacist |
| Contact Number: | 903-707-2034 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1194317289 |
| NPI Enumeration Date: | 09 Feb, 2021 |
| NPI Last Update On: | 16 Apr, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rose City Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 149679 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2130 W Grande Blvd,
Tyler, Texas |
| Zip: | 75703-0563 |
| Phone Number: | 903-707-2034 |
| Fax Number: | 903-707-2036 |
Patients can reach Rose City Pharmacy Llc at
2130 W Grande Blvd, Tyler, Texas or can
call on customer care at 903-707-2034.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.