Organization
RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS PLLC
Active
Other names
Rast RX
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MISKIMINS (MANAGER, PHARMACY LICENSING/CONTRAC)
(817) 572-0009
Entity
Organization
Contact information
Practice address
19272 STONE OAK PKWY STE 101, SAN ANTONIO, TX 78258-3372
(855) 567-3432
(888) 208-1097
Mailing address
1620 W NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051-3177
(817) 572-0009
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151232
PK
—
Enumeration date
08/13/2012
Last updated
09/22/2016
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