Individual provider · NPI-1

Charles Jonathon Adaszczyk, pharmacist

Pharmacist · San Antonio, TX

NPI number1710290341
StatusActive
Last updated in NPPESJul 25, 2010

Details

NPI
1710290341
Entity type
Individual (NPI-1)
Name
Mr. Charles Jonathon Adaszczyk
Credential
pharmacist
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2010
Last updated
Jul 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist35147TXYes

Practice location

14087 Oconnor Rd
San Antonio, TX 78247-1979

Phone 210-637-0033 · Fax 210-590-6486

Mailing address

26107 Hootananny
San Antonio, TX 78260-6250

Phone 830-980-5766

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