MEDICARE: SAMIR BHAKTA

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	183500000X	Pharmacist	36167	TX

General Provider Information

NPI Number	:	1699140269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIR BHAKTA

Provider Business Mailing Address
First Line	:	300 E HOUSTON ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-1816
Country	:	US
Telephone Number	:	210-424-3462
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E HOUSTON ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-1816
Country	:	US
Telephone Number	:	210-317-2255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2015
Last Update Date	:	12/19/2022

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Directions to “ SAMIR BHAKTA ” Practice Location

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