Organization
BUENA VISTA DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE DE LA CRUZ RPH (PHARMACISTS/OWNER)
(210) 226-3699
Entity
Organization
Contact information
Practice address
2223 BUENA VISTA ST, SAN ANTONIO, TX 78207-3702
(210) 226-3699
(210) 226-2130
Mailing address
2223 BUENA VISTA ST, SAN ANTONIO, TX 78207-3702
(210) 226-3699
(210) 226-2130
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
11492
TX
Other
Enumeration date
02/26/2008
Last updated
07/29/2008
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