Organization
REHOBOTH PHARMACY SERVICES
Active
Other names
REHOBOTH PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLE GOSSAN (OWNER/PHARMACY MANAGER)
(954) 288-4959
Entity
Organization
Contact information
Practice address
700 S ZARZAMORA ST, SUITE 108, SAN ANTONIO, TX 78207-5255
(210) 434-9999
(210) 434-9998
Mailing address
9322 KENTON HL, SAN ANTONIO, TX 78240-5414
(210) 434-9999
(210) 434-9998
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27951
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134459
PK
—
Enumeration date
03/27/2012
Last updated
07/02/2014
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