Organization
APOTHECA COMPOUNDING PHARMACY INC
Active
Other names
Apotheca Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ANDERSON (PRESIDENT)
(210) 226-1112
Entity
Organization
Contact information
Practice address
14603 HUEBER RD, STE 2602, SAN ANTONIO, TX 78230
(210) 226-1112
(210) 226-1119
Mailing address
14602 HUEBER, STE 2602, SAN ANTONIO, TX 78215
(210) 226-1112
(210) 226-1119
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
26153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4550059
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2008
Last updated
09/24/2010
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