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General NPI Number Information
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NPI Number | 1568496578
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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 | 07/10/2006
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 919 SW MILITARY DR #105
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1579
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Country | US
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Telephone | 210-922-1816
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Fax | 210-922-9732
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Provider Business Mailing Address
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Address Line | 919 SW MILITARY DR #105
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1579
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Country | US
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Telephone | 210-922-1816
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Fax | 210-922-9732
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Authorized Official
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Title or Position | CORP. SEC-TREAS
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Name | MR. RICARDO J LEAL
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Credential | R.PH
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 10165
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License Number State | TX
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