MEDICARE: S&S&S, INC

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
1	1835P1200X	Pharmacotherapy Pharmacist	22267	TX

General Provider Information

NPI Number	:	1437189529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&S&S, INC

Provider Business Mailing Address
First Line	:	2950 THOUSAND OAKS DR
Second Line	:	SUITE 7
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3361
Country	:	US
Telephone Number	:	210-424-0025
Fax Number	:	210-424-0026

Provider Business Practice Location Address
First Line	:	2950 THOUSAND OAKS DR
Second Line	:	SUITE 7
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3361
Country	:	US
Telephone Number	:	210-424-0025
Fax Number	:	210-424-0026

Authorized Official
Title or Position	:	PRES
Name	:	MR. WILSON M SHEPARD
Credential	:
Telephone Number	:	210-424-0025

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	10/04/2007

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Directions to “S&S&S, INC ” Practice Location

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