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Organization
BABCOCK PHARMACY LLC
Active
Organization
BABCOCK PHARMACY LLC
Active
Other names
Premier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY ILES KLATT II PHARM.D. (VP OF OPERATIONS)
(210) 298-9000
Entity
Organization
Contact information
Practice address
2425 BABCOCK RD STE 108A, SAN ANTONIO, TX 78229-4899
(210) 298-9000
(210) 298-9001
Mailing address
2425 BABCOCK RD STE 108A, SAN ANTONIO, TX 78229-4899
(210) 298-9000
(210) 298-9001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
32121
TX
Other
Enumeration date
08/28/2018
Last updated
10/21/2020
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