Organization
PRASANNA LLC
Active
Organization
PRASANNA LLC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVALIKA KALI (OWNER)
(210) 534-5457
Entity
Organization
Contact information
Practice address
1342 FAIR AVE, SAN ANTONIO, TX 78223
(210) 534-5457
(210) 532-4747
Mailing address
1342 FAIR AVE, SAN ANTONIO, TX 78223
(210) 534-5457
(210) 532-4747
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2619
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013563401
—
TX
05
—
091506801
—
TX
01
—
2090476
PK
—
Enumeration date
11/17/2006
Last updated
12/18/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up