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Organization
THE PINK BOUTIQUE
Active
Organization
THE PINK BOUTIQUE
Active
Parent organization
BEXAR CARE HOME MEDICAL EQUIPMENT & SUPPLY,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEXAR CARE HOME MEDICAL EQUIPMENT & SUPPLY,LLC
Authorized official
MS. ALICIA CORREA RN CMF (CEO)
(210) 614-3804
Entity
Organization
Contact information
Practice address
7410 JOHN SMITH, STE 210, SAN ANTONIO, TX 78229-4421
(210) 614-3804
(210) 614-3805
Mailing address
PO BOX 29366, SAN ANTONIO, TX 78229-0366
(210) 614-3804
(210) 614-3805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0105777
TX
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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