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Organization

SPCSA PLLC

Active
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Organization

SPCSA PLLC

Active
Other names
Shavano Oaks Pharmacy @ Westover, Dennis Karasek MD, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA MARIE BAKER HICKERSON PHARMACIST (PHARMACY DIRECTOR)
(210) 448-9080
Entity
Organization

Contact information

Practice address
3903 WISEMAN BLVD STE 101, SAN ANTONIO, TX 78251-4402
(210) 441-4501
(210) 441-4502
Mailing address
3903 WISEMAN BLVD STE 101, SAN ANTONIO, TX 78251-4402
(210) 441-4501
(210) 441-4502

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28946
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146889
TX
01
28946
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
12/26/2013
Last updated
08/25/2025
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