Healthcare Provider Details

I. General information

NPI: 1750009379
Provider Name (Legal Business Name): VERONICA SALAZAR CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 08/19/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9255 GRISSOM RD
SAN ANTONIO TX
78251-2805
US

IV. Provider business mailing address

9255 GRISSOM RD
SAN ANTONIO TX
78251-2805
US

V. Phone/Fax

Practice location:
  • Phone: 210-680-2958
  • Fax:
Mailing address:
  • Phone: 210-680-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number197274
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: