Individual
MYRA FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12125 ALAMO RANCH PKWY, SAN ANTONIO, TX 78253-4334
(210) 688-9584
Mailing address
171 CARDINAL WAY, SAN ANTONIO, TX 78253-5602
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
246224
TX
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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