Individual
MR. EDELMIRO TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2515 CASTROVILLE RD, SAN ANTONIO, TX 78237-3359
(210) 432-2361
Mailing address
2515 CASTROVILLE RD, SAN ANTONIO, TX 78237-3359
(210) 432-2361
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
—
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
TX
3336M0003X
Managed Care Organization Pharmacy
—
TX
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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