Individual
BERTHA ELISA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 884-4620
Mailing address
7718 LYNN ANNE ST, SAN ANTONIO, TX 78240-3616
(210) 884-4620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30508
TX
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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