Individual
DANA ALAN COLLAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
400 VALLEY HI, SAN ANTONIO, TX 78227-4604
(210) 673-1760
(210) 673-5489
Mailing address
400 VALLEY HI, SAN ANTONIO, TX 78227-4604
(210) 673-1760
(210) 673-5489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23754
TX
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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