Organization
IV RX INC
Active
Organization
IV RX INC
Active
Other names
AbsolutCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND LEE BS PHARMACY (PRESIDENT/OWNER)
(210) 310-3060
Entity
Organization
Contact information
Practice address
10119 BROADWAY ST, SAN ANTONIO, TX 78217-4420
(210) 310-3060
(210) 310-3209
Mailing address
10119 BROADWAY ST, SAN ANTONIO, TX 78217-4420
(210) 310-3060
(210) 310-3209
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
31757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149747
—
TX
01
—
2175409
PK
—
Enumeration date
01/05/2018
Last updated
09/19/2025
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