AZUH NDIKUM

SAN ANTONIO, TX
NPI1508123431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TX  61384)
Enumeration Date2012-04-17
Last Update Date2024-01-07
Business Address
AZUH NDIKUM Rph
12835 POTRANCO RD
SAN ANTONIO, TX 78253-6772
Phone number: 210-679-0250
Mailing Address
AZUH NDIKUM Rph
1414 PITCHER BND
SAN ANTONIO, TX 78253-4235
Phone number: 240-706-0643