| 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 |