Individual
STEPHANIE SOOKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3227 SE MILITARY DR, SAN ANTONIO, TX 78223-3876
(210) 247-0083
Mailing address
6859 ATLAS ST, SAN ANTONIO, TX 78223-3190
(979) 338-9199
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
217929
TX
183700000X
Pharmacy Technician
217969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217929
CPHT
TX
Enumeration date
03/20/2021
Last updated
04/09/2021
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