Organization
H & S CHAMPS MEDICAL LTD
Active
Other names
CHAMPS MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND HERNANDEZ RPH (OWNER)
(210) 614-1212
Entity
Organization
Contact information
Practice address
7718 LOUIS PASTEUR, SUITE B, SAN ANTONIO, TX 78229-3402
(210) 614-1212
(210) 614-7904
Mailing address
7718 LOUIS PASTEUR DR, SUITE B, SAN ANTONIO, TX 78229-3402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20776
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4573665
OTHER ID NUMBER
—
Enumeration date
10/03/2007
Last updated
06/25/2008
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