Individual
DEREK ALEXANDER ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1201 N LOOP 1604 E, SAN ANTONIO, TX 78232-1322
(210) 403-4703
Mailing address
1111 AUSTIN HWY APT 4204, SAN ANTONIO, TX 78209-4925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67309
TX
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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