Individual
MR. EDWIN FERNANDO BLANCO-CEPED
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
7979 WURZBACH RD, STE G354, INVESTIGATIONAL DRUG SECTION, SAN ANTONIO, TX 78229
(210) 616-5885
(210) 616-5589
Mailing address
9207 CENTRO BONITO, SAN ANTONIO, TX 78245-1294
(210) 678-9710
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
113781
TX
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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