Buena Vista Discount Pharmacy
Clinic/Center, Health Services in San Antonio, TX. Organization (NPI-2).
NPI number1306015177
StatusActive
Last updated in NPPESJul 29, 2008
Details
- NPI
- 1306015177
- Entity type
- Organization (NPI-2)
- Legal business name
- Buena Vista Discount Pharmacy
- Organization subpart
- No
- Enumeration date
- Feb 26, 2008
- Last updated
- Jul 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 11492 | TX | Yes |
Practice location
2223 Buena Vista StSan Antonio, TX 78207-3702
Phone 210-226-3699 · Fax 210-226-2130
Mailing address
2223 Buena Vista StSan Antonio, TX 78207-3702
Phone 210-226-3699 · Fax 210-226-2130
Authorized official
Jesse De La Cruz
Pharmacists/Owner
2102263699
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