Provider Demographics
NPI:1447850359
Name:FARMACIA ASSOCIATES OF SAN ANTONIO INC.
Entity type:Organization
Organization Name:FARMACIA ASSOCIATES OF SAN ANTONIO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:210-922-1816
Mailing Address - Street 1:919 SW MILITARY DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1580
Mailing Address - Country:US
Mailing Address - Phone:210-922-1816
Mailing Address - Fax:210-922-9732
Practice Address - Street 1:919 SW MILITARY DR STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1580
Practice Address - Country:US
Practice Address - Phone:210-922-1816
Practice Address - Fax:210-922-9732
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FARMACIA ASSOCIATES OF SAN ANTONIO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-29
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy