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NPI Code Detail

MEDICARE: VIRGINIA AVALOS PHARM.D.

MEDICARE: VIRGINIA AVALOS PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist51547TX

General Provider Information

NPI Number : 1356682397
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA AVALOS PHARM.D.
Provider Business Mailing Address
First Line : 4100 S NEW BRAUNFELS AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1718
Country : US
Telephone Number : 210-531-3160
Fax Number : 210-531-0775
Provider Business Practice Location Address
First Line : 4100 S NEW BRAUNFELS AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1718
Country : US
Telephone Number : 210-531-3160
Fax Number : 210-531-0775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2013
Last Update Date : 03/14/2013

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Directions to “ VIRGINIA AVALOS PHARM.D.” Practice Location

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