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Organization
15RX LLC
Active
Organization
15RX LLC
Active
Other names
15RX Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DHIRAJ AJMANI (PHARMACIST-IN-CHARGE)
(210) 684-1579
Entity
Organization
Contact information
Practice address
11212 STATE HIGHWAY 151 STE 110, PLAZA-2, SAN ANTONIO, TX 78251-4500
(210) 543-1579
(210) 543-1581
Mailing address
419 CARSON HL BLDG 1, SAN ANTONIO, TX 78251-5500
(210) 684-1579
(210) 684-1581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
27839
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132135
PK
—
Enumeration date
10/12/2011
Last updated
12/12/2019
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