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NPI Code Detail

MEDICARE: NEW DAWN PHARMACY 2 LLC

MEDICARE: NEW DAWN PHARMACY 2 LLC
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
13336S0011XSpecialty Pharmacy
23336C0003XCommunity/Retail Pharmacy
33336C0004XCompounding Pharmacy
43336H0001XHome Infusion Therapy Pharmacy
53336L0003XLong Term Care Pharmacy
6333600000XPharmacy

General Provider Information

NPI Number : 1194688291
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DAWN PHARMACY 2 LLC
Provider Business Mailing Address
First Line : 102 BABCOCK RD STE 102
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-3952
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 BABCOCK RD STE 102
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-3952
Country : US
Telephone Number : 210-999-5042
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : ERNEST SAMA
Credential :
Telephone Number : 703-944-5255
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “NEW DAWN PHARMACY 2 LLC ” Practice Location

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