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Organization
APOTHECA COMPOUNDING PHARMACY INC
Active
Organization
APOTHECA COMPOUNDING PHARMACY INC
Active
Other names
Apotheca Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ANDERSON (PRESIDENT)
(210) 226-1112
Entity
Organization
Contact information
Practice address
14603 HUEBER RD, STE 2602, SAN ANTONIO, TX 78230
(210) 226-1112
(210) 226-1119
Mailing address
14602 HUEBER, STE 2602, SAN ANTONIO, TX 78215
(210) 226-1112
(210) 226-1119
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
26153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4550059
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2008
Last updated
09/24/2010
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