Davila Pharmacy, Inc.

LBN: Davila Pharmacy, Inc.
Davila Pharmacy, Inc. is an health care organization with primary practice located at 1423 Guadalupe St Suite 108, San Antonio TX 78207-5527. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Davila Pharmacy, Inc. can be contacted via phone (210) 226-5293, or through Davila, Rudy via phone (210) 226-5293.

Contact Information

Primary practice address
1423 Guadalupe St Suite 108 San Antonio TX 78207-5527
Fax: (210) 224-9257
Website:
Authorized official contact:
Name: Davila, Rudy R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 01055 Texas
Suppliers / Specialty Pharmacy 3336S0011X 01055 Texas

Profile Details

NPI number 1205819885
LBN Legal business name Davila Pharmacy, Inc.
DBA Doing business as
Authorized official Davila, Rudy R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated Dec 4th, 2012 - 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 1205819885 NPPES
Texas Other 079060201 CSHCN
Texas MEDICAID 125943402 CSHCN
Texas MEDICAID 125943403 CSHCN
Texas MEDICAID 013612901 CSHCN
Texas Other 1255943401 CSHCN

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