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
Phone: (210) 932-3500
Fax: (210) 924-6778
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467592683 | NPPES |
| Texas | MEDICAID | 120980102 | |
| Texas | MEDICAID | 120980103 | |
| Texas | Other | 4587537 | |
| Texas | Other | 00MT08 | |
| Texas | MEDICAID | 120980101 |
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