Organization
BABCOCK PHARMACY LLC
Active
Other names
Premier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY ILES KLATT II PHARM.D. (VP OF OPERATIONS)
(210) 298-9000
Entity
Organization
Contact information
Practice address
2425 BABCOCK RD STE 108A, SAN ANTONIO, TX 78229-4899
(210) 298-9000
(210) 298-9001
Mailing address
2425 BABCOCK RD STE 108A, SAN ANTONIO, TX 78229-4899
(210) 298-9000
(210) 298-9001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
32121
TX
Other
Enumeration date
08/28/2018
Last updated
10/21/2020
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