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General NPI Number Information
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NPI Number | 1497942882
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Entity Type | Organization
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Legal Business Name | FARMACIA ASSOCIATES OF SAN ANTONIO INC
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 6609 BLANCO RD STE 135
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6152
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Country | US
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Telephone | 210-212-8100
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Fax | 210-212-8105
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Provider Business Mailing Address
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Address Line | 6609 BLANCO RD STE 135
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6152
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Country | US
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Telephone | 210-212-8100
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Fax | 210-212-8105
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Authorized Official
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Title or Position | CORP SEC TREAS
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Name | RICARDO LEAL
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Credential | RPH
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Telephone | 210-922-1816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 25693
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License Number State | TX
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