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NPI Code Detail

MEDICARE: WESTOVER HILLS PHARMACY INC

MEDICARE: WESTOVER HILLS PHARMACY 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy30609TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22150594OTHERPK

General Provider Information

NPI Number : 1578936654
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTOVER HILLS PHARMACY INC
Provider Business Mailing Address
First Line : 9793 CULEBRA RD STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-3750
Country : US
Telephone Number : 210-684-1800
Fax Number : 210-684-1801
Provider Business Practice Location Address
First Line : 9793 CULEBRA RD STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-3750
Country : US
Telephone Number : 210-684-1800
Fax Number : 210-684-1801
Authorized Official
Title or Position : OFFICER
Name : SULTAN HAROON
Credential :
Telephone Number : 214-679-8972
Provider Enumeration Date : 11/11/2015
Last Update Date : 05/14/2019

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Directions to “WESTOVER HILLS PHARMACY INC ” Practice Location

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