MEDICARE: MR. KRISTOPHER A LOES RPH

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
1	1835P1200X	Pharmacotherapy Pharmacist	58407	TX

General Provider Information

NPI Number	:	1538232707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KRISTOPHER A LOES RPH

Provider Business Mailing Address
First Line	:	21134 MARKET RDG STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4986
Country	:	US
Telephone Number	:	317-696-3072
Fax Number	:	844-590-5793

Provider Business Practice Location Address
First Line	:	21134 MARKET RDG STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4986
Country	:	US
Telephone Number	:	317-696-3072
Fax Number	:	844-590-5793

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	02/03/2026

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