Centromed Pharmacy- Walzem
LBN: El Centro Del Barrio, Inc.
Centromed Pharmacy- Walzem is an health care organization with primary practice located at 5542 Walzem Rd. , San Antonio TX 78221-3117. 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) 637-2420, or through Walzel, Chuck via phone (210) 334-3724.
Contact Information
Primary practice address
5542 Walzem Rd.
San Antonio TX 78221-3117
Phone: (210) 637-2420
Fax: (210) 637-2424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | H80CS007581002 | Texas |
| Suppliers / Clinic Pharmacy | 3336C0002X | H80CS007581002 | Texas |
Profile Details
| NPI number | 1669741013 |
|---|---|
| LBN Legal business name | El Centro Del Barrio, Inc. |
| DBA Doing business as | Centromed Pharmacy- Walzem |
| Authorized official | Walzel, Chuck |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2011 |
| Last updated | Dec 14th, 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 | 1669741013 | NPPES |
| Texas | MEDICAID | 120980101 | |
| Texas | Other | 00MT08 | |
| Texas | MEDICAID | 120980103 | |
| Texas | MEDICAID | 192233801 | |
| Texas | MEDICAID | 120980102 |
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