Individual
MYYA MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 WEST AVE, SAN ANTONIO, TX 78213-2714
(210) 341-3875
Mailing address
6000 WEST AVE, SAN ANTONIO, TX 78213-2714
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
316649
TX
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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