Princess C Ike, Pharm.D.
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Antonio, TX. Individual provider (NPI-1).
NPI number1023639655
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1023639655
- Entity type
- Individual (NPI-1)
- Name
- Princess C Ike
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2020
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 65315 | TX | Yes |
Practice location
14220 Northbrook Dr Ste 100bSan Antonio, TX 78232-5045
Phone 210-403-0429
Mailing address
14220 Northbrook Dr Ste 100bSan Antonio, TX 78232-5045
Phone 210-403-0429
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