Organization
SMART PHARMACY LLC
Active
Other names
Smart Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PHANI CHENNUPATI (OFFICER,AO)
(210) 452-8025
Entity
Organization
Contact information
Practice address
4390 CALLAGHAN RD, SAN ANTONIO, TX 78228-3401
(210) 858-7299
(210) 595-3709
Mailing address
20211 BRISTOL MESA, SAN ANTONIO, TX 78259-2450
(210) 452-8025
(210) 714-9633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30351
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155852
PK
—
Enumeration date
12/07/2015
Last updated
02/23/2016
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