Organization
MEDICAL CENTER PHARMACY, LTD.CO
Active
Organization
MEDICAL CENTER PHARMACY, LTD.CO
Active
Other names
MEDICAL CENTER PHARMACY-STONE OAK
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS VALDIVIESO III PHARM.D. (PHARMACIST-IN-CHARGE)
(210) 833-1935
Entity
Organization
Contact information
Practice address
540 OAK CENTRE DRIVE, SUITE 153, SAN ANTONIO, TX 78258-3937
(210) 332-9862
(210) 332-9585
Mailing address
540 OAK CENTRE DRIVE, SUITE 153, SAN ANTONIO, TX 78258-3937
(210) 332-9862
(210) 332-9585
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
29710
TX
3336C0004X
Compounding Pharmacy
Primary
29710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151574
PK
—
Enumeration date
05/07/2015
Last updated
03/02/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up