Organization
MP PHARMACY LLC
Active
Organization
MP PHARMACY LLC
Active
Other names
MedPlus Pharmacy, OAKDELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASU VATTI (OFFICER)
(210) 868-6440
Entity
Organization
Contact information
Practice address
7220 LOUIS PASTEUR, SUITE 152, SAN ANTONIO, TX 78229
(210) 868-6440
(210) 868-6441
Mailing address
7220 LOUIS PASTEUR, SUITE 152, SAN ANTONIO, TX 78229
(210) 868-6440
(210) 868-6441
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
00125
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130289
—
TX
05
—
148662
—
TX
01
—
2092563
PK
—
Enumeration date
09/06/2005
Last updated
02/02/2022
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