Individual
RENA EBADEHAHVAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
910 KITTY HAWK RD, UNIVERSAL CITY, TX 78148-3806
(210) 945-2120
Mailing address
1302 SADDLE BLANKET, SAN ANTONIO, TX 78258-6939
(210) 831-4094
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
201181
TX
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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