Organization
PACSOUTH DISTRIBUTION DELAWARE LLC
Active
Other names
IOD Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN-DAVID COLLIER (COMPLIANCE OFFICER)
(210) 887-7503
Entity
Organization
Contact information
Practice address
4310 WEST AVE, SAN ANTONIO, TX 78213-3033
(210) 541-7814
Mailing address
4310 WEST AVE, SAN ANTONIO, TX 78213-3033
(210) 541-7814
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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