Individual
LISA ANN DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13105
SC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13105
SC
1835P1200X
Pharmacotherapy Pharmacist
13105
SC
Other
Enumeration date
02/06/2010
Last updated
06/30/2025
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