Organization
TRIAD PHARMACY INC
Active
Other names
Sonterra Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY OLIVER RPH (PRESIDENT)
(210) 854-7274
Entity
Organization
Contact information
Practice address
1162 E SONTERRA BLVD, SUITE 100, SAN ANTONIO, TX 78258-4047
(210) 490-7711
Mailing address
1162 E SONTERRA BLVD, SUITE 100, SAN ANTONIO, TX 78258-4047
(210) 490-7711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
20086
TX
3336C0003X
Community/Retail Pharmacy
Primary
20086
TX
Other
Enumeration date
08/28/2007
Last updated
07/02/2009
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