NPI | 1174921803 |
---|---|
Doing Business As | ONE SOURCE PHARMACY AND MEDICAL SUPPLIES |
Entity Type | Organization |
Authorized Contact | JON JIMENEZ CEO 210-493-8378 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29690) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
333600000X Pharmacy | |
Enumeration Date | 2014-12-11 |
Last Update Date | 2015-06-23 |