Individual
NICOLE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
302 W RECTOR ST, SAN ANTONIO, TX 78216-5718
(210) 358-0813
Mailing address
530 STONEWOOD ST, SAN ANTONIO, TX 78216-7919
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
48711
TX
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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