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Organization

FIDEL G. HUERTA JR., INC.

Active
Other names
Health Professionals
Organization subpart
No

Provider details

NPI number
Authorized official
FIDEL G HUERTA RPH (OWNER PRESIDENT)
(210) 924-5163
Entity
Organization

Contact information

Practice address
426 CASTROVILLE RD, SUITE 5, SAN ANTONIO, TX 78207-5120
(210) 433-9991
(210) 434-7864
Mailing address
4006 NOGALITOS, SUITE 1, SAN ANTONIO, TX 78211-1300
(210) 924-5163
(210) 924-3122

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19805
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144907
TX
01
4510485
NCPDP OR NABP
TX
Enumeration date
02/20/2007
Last updated
12/12/2008
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