Organization
HIGH PERFORMANCE PHARMACY LLC
Active
Other names
HIGH PERFORMANCE PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ZUCHA (PRESIDENT/PIC)
(210) 691-4779
Entity
Organization
Contact information
Practice address
21 SPURS LN, SL 120, SAN ANTONIO, TX 78240-1669
(210) 691-4779
(210) 691-4778
Mailing address
21 SPURS LN, SL 120, SAN ANTONIO, TX 78240-1669
(888) 757-8967
(888) 751-8969
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100101
PK
—
Enumeration date
04/23/2007
Last updated
07/15/2015
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