Individual
DIANA C CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10660 CULEBRA RD, SAN ANTONIO, TX 78251-1320
(210) 684-1234
Mailing address
6919 MISTY BRK, SAN ANTONIO, TX 78250-1748
(210) 843-1377
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100054
TX
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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