Individual
DR. PAMELA R MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
4502 MEDICAL DR # MS 102-1, SAN ANTONIO, TX 78229-4402
(210) 358-4564
(210) 358-1243
Mailing address
4502 MEDICAL DR # MS 102-1, SAN ANTONIO, TX 78229-4402
(210) 358-4564
(210) 358-1243
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28207
TX
1835P1200X
Pharmacotherapy Pharmacist
28207
TX
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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