Healthcare Provider Details

I. General information

NPI: 1023831799
Provider Name (Legal Business Name): SARAH BERMUDEZ PHARMD, PHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S ZARZAMORA ST
SAN ANTONIO TX
78207-5209
US

IV. Provider business mailing address

701 S ZARZAMORA ST
SAN ANTONIO TX
78207-5209
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-7500
  • Fax: 210-358-7515
Mailing address:
  • Phone: 210-358-7500
  • Fax: 210-358-7515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00009335
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPC00000333
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number67118
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: