Super Drug Mart, Inc.
NPI #1447631734 in San Antonio, Texas
Provider Information
- NPI Number
- 1447631734
- Entity Type
- Organization
- Organization Name
- Super Drug Mart, Inc.
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 12, 2015
- Last Updated
- Jun 12, 2015
Practice Location
- Address
- 5555 FREDERICKSBURG RD
- Address 2
- SUITE 105
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78229-3500
- Phone
- (210) 495-7516
Authorized Official
- Name
- MR. RAYMOND D IBANEZ SR., PHARM.D.
- Title
- OWNER/PHARMACIST
- Phone
- (830) 709-0360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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