Healthcare Provider Details

I. General information

NPI: 1609926641
Provider Name (Legal Business Name): VENTURA BUSINESS PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 BROADWAY ST
ALAMO HEIGHTS TX
78209-4545
US

IV. Provider business mailing address

6100 BROADWAY ST
ALAMO HEIGHTS TX
78209-4545
US

V. Phone/Fax

Practice location:
  • Phone: 210-824-3322
  • Fax: 210-824-3350
Mailing address:
  • Phone: 210-824-3322
  • Fax: 210-824-3350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number24237
License Number StateTX

VIII. Authorized Official

Name: DR. CORRIE WORSHAM WASHBURN
Title or Position: PIC, VICE PRESIDENT
Credential: RPH
Phone: 210-824-3322