Centromed Pharmacy

LBN: El Centro Del Barrio Inc
Centromed Pharmacy is an health care organization with primary practice located at 918 Wagner , San Antonio TX 78211-3218. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. El Centro Del Barrio Inc can be contacted via phone (210) 932-3500, or through Walzel, Chuck via phone (210) 334-3724.

Contact Information

Primary practice address
918 Wagner San Antonio TX 78211-3218
Fax: (210) 924-6778
Website:
Authorized official contact:
Name: Walzel, Chuck

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X HBOCS007580400 Texas
Suppliers / Clinic Pharmacy 3336C0002X HBOCS007580400 Texas

Profile Details

NPI number 1467592683
LBN Legal business name El Centro Del Barrio Inc
DBA Doing business as Centromed Pharmacy
Authorized official Walzel, Chuck
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 3rd, 2011 - about 13 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 1467592683 NPPES
Texas MEDICAID 120980102
Texas MEDICAID 120980103
Texas Other 4587537
Texas Other 00MT08
Texas MEDICAID 120980101

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