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Organization

MEDFUSION PHARMACY

Active
Parent organization
MEDFUSION, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDFUSION, LLC
Authorized official
THOMAS GRAY HARDAWAY (OWNER)
(210) 445-9079
Entity
Organization

Contact information

Practice address
8812 BROADWAY ST STE A, SAN ANTONIO, TX 78217-6318
(210) 624-7648
(888) 217-1216
Mailing address
17115 SAN PEDRO AVE STE 105, SAN ANTONIO, TX 78232-2685
(210) 445-9079
(888) 217-1216

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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