Individual
BHARGAVI SHIVAPRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 MARSHALL RD, SAN ANTONIO, TX 78259-1608
(210) 497-5889
Mailing address
2502 MARSHALL RD, SAN ANTONIO, TX 78259-1608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52315
TX
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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