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NPI Code Detail

MEDICARE: I.V. CARE OF S.A, INC.

MEDICARE: I.V. CARE OF S.A, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy18620TX
2251E00000XHome Health Agency18620TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1167964901OTHERTXTPI#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3167964902OTHERTXTPI#

General Provider Information

NPI Number : 1114206588
Entity Type Code : Organization
Provider Name (Legal Business Name) : I.V. CARE OF S.A, INC.
Provider Business Mailing Address
First Line : 6428 BANDERA RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1511
Country : US
Telephone Number : 210-256-8629
Fax Number : 210-256-8199
Provider Business Practice Location Address
First Line : 810 SE MILITARY DR
Second Line : SUITE A
City : SAN ANTONIO
State : TX
Zip : 78214-2823
Country : US
Telephone Number : 210-923-4493
Fax Number : 210-923-4166
Authorized Official
Title or Position : OWNER/PHARMACIST IN CHARGE
Name : MR. MICHAEL ALLEN BUCHMEIER
Credential : PHARMACIST
Telephone Number : 210-490-4320
Provider Enumeration Date : 08/16/2011
Last Update Date : 08/16/2011

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