# MP PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedPlus Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124013131
- **Authorized official:** SRINIVASU VATTI (OFFICER)
- **Authorized official phone:** (210) 868-6420

## Contact information

- **Practice address:** 7220 LOUIS PASTEUR DR, SUITE 152B, SAN ANTONIO, TX 78229
- **Practice address phone:** (210) 868-6420
- **Practice address fax:** (210) 868-6441
- **Mailing address:** 7220 LOUIS PASTEUR DR, SUITE 152B, SAN ANTONIO, TX 78229
- **Mailing address phone:** (210) 868-6420
- **Mailing address fax:** (210) 614-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 15212 | TX | Yes |

## Other

- **Enumeration date:** 09/15/2005
- **Last updated:** 11/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2100732 | PK | — |
| 05 | — | 351018 | — | TX |