Dba Super Drug Mart #4

LBN: Buena Vista Pharmacy, Inc.
Dba Super Drug Mart #4 is an health care organization with primary practice located at 7323 Marbach Rd Ste 105 , San Antonio TX 78227-1905. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Buena Vista Pharmacy, Inc. can be contacted via phone (210) 674-1900, or through Ibanez, Raymond D via phone (210) 674-1900.

Contact Information

Primary practice address
7323 Marbach Rd Ste 105 San Antonio TX 78227-1905
Phone: (210) 674-1900
Fax: (210) 674-5404
Website:
Map and Directions
Authorized official contact:
Name: Ibanez, Raymond D RPH
Phone: (210) 674-1900

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 18224 Texas

Profile Details

NPI number 1649304320
LBN Legal business name Buena Vista Pharmacy, Inc.
DBA Doing business as Dba Super Drug Mart #4
Authorized official Ibanez, Raymond D RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Dec 2nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649304320 NPPES
Texas MEDICAID 010729401
Texas MEDICAID 067296601
Texas Other 4567270
Texas MEDICAID 016578901
Texas MEDICAID 142614

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