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Brian Paul Coffee

Pharmacist in San Antonio, TX. Individual provider (NPI-1).

NPI number1336749068
StatusActive
Last updated in NPPESOct 30, 2020

Details

NPI
1336749068
Entity type
Individual (NPI-1)
Name
Brian Paul Coffee
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 30, 2020
Certification date
Oct 30, 2020
Last updated
Oct 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist58426TXYes

Practice location

4331 Thousand Oaks Dr
San Antonio, TX 78217-2101

Phone 210-591-4979 · Fax 210-591-4980

Mailing address

4331 Thousand Oaks Dr
San Antonio, TX 78217-2101

Phone 210-591-4979 · Fax 210-591-4980

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