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Organization
MP PHARMACY LLC
Active
Organization
MP PHARMACY LLC
Active
Other names
MedPlus Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASU VATTI (OFFICER)
(210) 868-6420
Entity
Organization
Contact information
Practice address
7220 LOUIS PASTEUR DR, SUITE 152B, SAN ANTONIO, TX 78229
(210) 868-6420
(210) 868-6441
Mailing address
7220 LOUIS PASTEUR DR, SUITE 152B, SAN ANTONIO, TX 78229
(210) 868-6420
(210) 614-8172
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
15212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100732
PK
—
05
—
351018
—
TX
Enumeration date
09/15/2005
Last updated
11/10/2021
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