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Organization

IRIS ANNA INC

Active
Other names
patt's drug store
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M MOHRMANN RPH (V PRES)
(830) 672-2317
Entity
Organization

Contact information

Practice address
5320 BROADWAY ST, SAN ANTONIO, TX 78209-5714
(210) 826-0616
(210) 930-3784
Mailing address
5320 BROADWAY ST, SAN ANTONIO, TX 78209-5714
(210) 826-0616
(210) 930-3784

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11221
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142811
TX
Enumeration date
02/19/2007
Last updated
08/22/2020
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