Individual
FAUSTINO CRUZ MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
19337 MCDONALD ST, LYTLE, TX 78052-3622
(830) 772-5748
Mailing address
1803 POINT WEST ST, SAN ANTONIO, TX 78224-2230
(726) 205-3717
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
239328
TX
Other
Enumeration date
12/20/2020
Last updated
12/03/2024
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