Organization
DAVILA CD PHARMACY LLC
Active
Other names
Davila CD Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO DAVILA (OWNER/VICE-PRESIDENT)
(210) 226-5293
Entity
Organization
Contact information
Practice address
1423 GUADALUPE ST STE 105, SAN ANTONIO, TX 78207-5568
(210) 242-4010
Mailing address
1423 GUADALUPE ST, SUITE 105, SAN ANTONIO, TX 78207-5527
(210) 242-4010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5905748
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/16/2012
Last updated
12/05/2012
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