Individual
MR. BENJAMIN DEJESUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11311 BANDERA RD, TARGET PHARMACY, SAN ANTONIO, TX 78250-6812
(210) 682-2533
(210) 682-2533
Mailing address
11311 BANDERA RD, TARGET PHARMACY, SAN ANTONIO, TX 78250-6812
(210) 682-2533
(210) 682-2533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21182
TX
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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