Organization
OAKDELL PHARMACY INC
Active
Other names
PHYSICIANS PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WOLFF (CFO)
(210) 614-6200
Entity
Organization
Contact information
Practice address
8042 WURZBACH RD, SAN ANTONIO, TX 78229-3818
(210) 614-5491
Mailing address
8042 WURZBACH RD, SAN ANTONIO, TX 78229-3818
(210) 614-5491
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141421
—
TX
01
—
4548369
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2005
Last updated
10/01/2012
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