# CBK PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104634419
- **Authorized official:** MR. JODY R WELCHANS (GENERAL MANAGER)
- **Authorized official phone:** (210) 227-7207

## Contact information

- **Practice address:** 1303 MCCULLOUGH AVE STE 128, SAN ANTONIO, TX 78212-5603
- **Practice address phone:** (210) 227-7207
- **Mailing address:** 1303 MCCULLOUGH AVE STE 128, SAN ANTONIO, TX 78212-5603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024