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Organization

MP PHARMACY LLC

Active
Other names
MedPlus Long Term Care Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SRINIVASU VATTI (OFFICER)
(210) 868-6420
Entity
Organization

Contact information

Practice address
7220 LOUIS PASTEUR DR, SUITE 152B, SAN ANTONIO, TX 78229
(210) 868-6420
(210) 868-6441
Mailing address
7220 LOUIS PASTEUR DR, SUITE 152B, SAN ANTONIO, TX 78229
(210) 868-6420
(210) 614-8172

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
15212
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2100732
PK
05
351018
TX
Enumeration date
09/15/2005
Last updated
11/10/2021
About Stedi
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