# PACSOUTH DISTRIBUTION DELAWARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IOD Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366127748
- **Authorized official:** MR. JOHN-DAVID COLLIER (COMPLIANCE OFFICER)
- **Authorized official phone:** (210) 887-7503

## Contact information

- **Practice address:** 4310 WEST AVE, SAN ANTONIO, TX 78213-3033
- **Practice address phone:** (210) 541-7814
- **Mailing address:** 4310 WEST AVE, SAN ANTONIO, TX 78213-3033
- **Mailing address phone:** (210) 541-7814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |
| 333600000X | Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/21/2023
- **Last updated:** 06/21/2023