Organization
15RX LLC
Active
Other names
15RX Pharmacy-4
Organization subpart
No
Provider details
NPI number
Authorized official
DHIRAJ AJMANI (PHARMACIST)
(210) 684-1579
Entity
Organization
Contact information
Practice address
215 N SAN SABA STE 103, SAN ANTONIO, TX 78207-3121
(210) 684-1579
(210) 368-2183
Mailing address
419 CARSON HL BLDG 1, SAN ANTONIO, TX 78251-5500
(210) 684-1579
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159527
PK
—
Enumeration date
04/14/2016
Last updated
08/29/2023
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