Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rose City Pharmacy LLC

Organization Long Term Care Pharmacy · NPI 1194317289

Rose City Pharmacy LLC is a Long Term Care Pharmacy in Tyler, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2130 W Grande Blvd
Tyler, TX 75703-0563
Phone: (903) 707-2034
Fax: (903) 707-2036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1194317289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilson Krezdorn — President/Pharmacist · (903) 707-2034
NPI enumeratedFebruary 9, 2021
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021
Mailing address2130 W Grande Blvd, Tyler, TX 75703-0563

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