Individual
HUNTER KELLEY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCACP
Contact information
Practice address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
(210) 358-0016
Mailing address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
(210) 358-0016
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
19819
OK
1835P2201X
Ambulatory Care Pharmacist
Primary
70905
TX
Other
Enumeration date
11/18/2022
Last updated
04/24/2025
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