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Organization

MEDINA PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEAGAN JACOBS (PIC/MANAGING MEMBER)
(210) 404-4538
Entity
Organization

Contact information

Practice address
5563 DEZAVALA ROAD, SUITE 180, SAN ANTONIO, TX 78249
(210) 404-4538
(210) 568-6076
Mailing address
5563 DEZAVALA ROAD, SUITE 180, SAN ANTONIO, TX 78249
(210) 404-4538
(210) 568-6076

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31384
TX

Other

Enumeration date
05/03/2017
Last updated
05/03/2017
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