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Organization
MEDFUSION PHARMACY
Active
Organization
MEDFUSION PHARMACY
Active
Parent organization
MEDFUSION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDFUSION, LLC
Authorized official
THOMAS GRAY HARDAWAY (OWNER)
(210) 445-9079
Entity
Organization
Contact information
Practice address
8812 BROADWAY ST STE A, SAN ANTONIO, TX 78217-6318
(210) 624-7648
(888) 217-1216
Mailing address
17115 SAN PEDRO AVE STE 105, SAN ANTONIO, TX 78232-2685
(210) 445-9079
(888) 217-1216
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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