Organization
SWAGATH LLC
Active
Other names
RX Konnect, Forney Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRAVALLIKA KALI (OFFICER)
(409) 225-2098
Entity
Organization
Contact information
Practice address
5107 MEDICAL DR, STE #202, SAN ANTONIO, TX 78229
(409) 225-2098
(877) 701-9241
Mailing address
5107 MEDICAL DR, STE #202, SAN ANTONIO, TX 78229
(409) 225-2098
(877) 701-9241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150130
—
TX
Enumeration date
09/30/2019
Last updated
03/04/2022
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