Individual
MR. KYLE WAYNE LAECHELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PH.T.
Contact information
Practice address
20226 STONE OAK PKWY, SAN ANTONIO, TX 78258-6955
(210) 481-9138
(210) 481-0957
Mailing address
20226 STONE OAK PKWY, SAN ANTONIO, TX 78258-6955
(210) 481-9138
(210) 481-0957
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
135850
TX
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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