Individual
SAMANTHA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4821 BROADWAY, SAN ANTONIO, TX 78209-5703
(210) 824-0515
Mailing address
1102 LOVERA BLVD, SAN ANTONIO, TX 78201-2544
(210) 587-5049
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
292604
TX
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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