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Organization
WHOLESALE GROCERY SERVICES
Active
Organization
WHOLESALE GROCERY SERVICES
Active
Other names
Grocery Outlet Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRED BATTAH RPH (CEO/OWNER/AO)
(210) 446-2364
Entity
Organization
Contact information
Practice address
1568 AUSTIN HWY, SAN ANTONIO, TX 78218-6042
(210) 446-2364
(800) 683-5784
Mailing address
1568 AUSTIN HWY, SAN ANTONIO, TX 78218-6042
(210) 446-2364
(800) 683-5784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149638
—
TX
01
—
2167846
PK
—
Enumeration date
03/15/2017
Last updated
09/19/2025
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