# THE PINK BOUTIQUE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEXAR CARE HOME MEDICAL EQUIPMENT & SUPPLY,LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194100800
- **Legal business name:** BEXAR CARE HOME MEDICAL EQUIPMENT & SUPPLY,LLC
- **Authorized official:** MS. ALICIA CORREA RN CMF (CEO)
- **Authorized official phone:** (210) 614-3804

## Contact information

- **Practice address:** 7410 JOHN SMITH, STE 210, SAN ANTONIO, TX 78229-4421
- **Practice address phone:** (210) 614-3804
- **Practice address fax:** (210) 614-3805
- **Mailing address:** PO BOX 29366, SAN ANTONIO, TX 78229-0366
- **Mailing address phone:** (210) 614-3804
- **Mailing address fax:** (210) 614-3805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0105777 | TX | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 07/23/2015