Organization
SPCSA PLLC
Active
Other names
SHAVANO OAKS PHARMACY, Dennis Karasek MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE BAKER HICKERSON PHARMACIST (PHARMACY DIRECTOR)
(210) 448-9080
Entity
Organization
Contact information
Practice address
12602 TOEPPERWEIN RD STE 118, LIVE OAK, TX 78233-3270
(210) 448-9080
(210) 764-1038
Mailing address
12602 TOEPPERWEIN RD STE 118, LIVE OAK, TX 78233-3270
(210) 448-9080
(210) 764-1038
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146270
—
TX
Enumeration date
09/23/2010
Last updated
08/25/2025
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