Organization
ADITYA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEERTHAN KOTA (OFFICER)
(210) 263-9615
Entity
Organization
Contact information
Practice address
8223 FREDERICKSBURG RD STE 101, SAN ANTONIO, TX 78229-3355
(210) 263-9615
(210) 739-6706
Mailing address
8223 FREDERICKSBURG RD STE 101, SAN ANTONIO, TX 78229-3355
(210) 263-9615
(210) 739-6706
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32187
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
02/26/2020
Last updated
09/12/2024
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