Organization
JYEN HEALTHCARE LLC.
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SACHIN PATEL (OWNER, AO)
(210) 333-3700
Entity
Organization
Contact information
Practice address
4402 E SOUTHCROSS STE 104, SAN ANTONIO, TX 78222-3520
(210) 333-3700
(210) 333-3707
Mailing address
4402 E SOUTHCROSS STE 104, SAN ANTONIO, TX 78222-3520
(352) 216-5500
(830) 315-4711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148067
—
TX
01
—
2155842
PK
—
Enumeration date
12/07/2015
Last updated
05/02/2024
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