Individual
EDWARD SHILLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6839 SAN PEDRO, SAN ANTONIO, TX 78216-7202
(210) 979-8660
(210) 979-9078
Mailing address
6839 SAN PEDRO, SAN ANTONIO, TX 78216-7202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22496
TX
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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