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Organization
DAVILA PHARMACY, INC.
Active
Organization
DAVILA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDY DAVILA III R.PH. (VICE PRESIDENT OWNER)
(210) 226-5293
Entity
Organization
Contact information
Practice address
1423 GUADALUPE ST, SUITE 108, SAN ANTONIO, TX 78207-5527
(210) 226-5293
(210) 224-9257
Mailing address
1423 GUADALUPE ST, SUITE 108, SAN ANTONIO, TX 78207-5527
(210) 226-5293
(210) 224-9257
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
01055
TX
3336S0011X
Specialty Pharmacy
01055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013612901
—
TX
01
—
079060201
CSHCN
TX
01
—
1255943401
CSHCN
TX
05
—
125943402
—
TX
05
—
125943403
—
TX
Enumeration date
11/28/2005
Last updated
12/04/2012
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