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Individual

DR. JASON M. COTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-3710
(210) 916-5102
Mailing address
4301 BROADWAY ST, SAN ANTONIO, TX 78209-6318
(210) 883-1095
(210) 822-1516

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
43319
TX
1835P1200X
Pharmacotherapy Pharmacist
Primary
43319
TX

Other

Enumeration date
09/26/2007
Last updated
09/26/2007
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