Matt Tullis, R.Ph.
Pharmacist in San Antonio, TX. Individual provider (NPI-1).
NPI number1841754314
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1841754314
- Entity type
- Individual (NPI-1)
- Name
- Matt Tullis
- Credential
- R.Ph.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2019
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 30566 | TX | Yes |
Practice location
8812 Broadway St Ste ASan Antonio, TX 78217-6318
Phone 210-624-7648 · Fax 888-217-1216
Mailing address
224 Argo AveSan Antonio, TX 78209-5113
Phone 210-289-2151
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