Individual
ANVESH DOMAKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1927 ARGOS STAR, SAN ANTONIO, TX 78245-4664
(408) 759-9803
(210) 684-1581
Mailing address
419 CARSON HL, SAN ANTONIO, TX 78251-5500
(210) 684-1579
(210) 684-1581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65953
TX
Other
Enumeration date
08/03/2022
Last updated
06/14/2024
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