Individual
AGATHA IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4703 W COMMERCE ST, SAN ANTONIO, TX 78237-1502
(210) 434-5566
Mailing address
2811 PIPING ROCK, SAN ANTONIO, TX 78253-5072
(210) 394-3341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73277
TX
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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