One Source Medical Group Llc

NPI 1174921803 - Pharmacy - 3336M0002X

NPI Details
NPI 1174921803
Enumeration Date 12/11/2014
Last Updated 06/23/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JON JON
Position CEO
Phone (210) 493-8378
Fax (210) 408-0722
Practice Location
15733 SAN PEDRO AVE
SAN ANTONIO TX, 78232-3726, US
Phone (210) 493-8378
Fax (210) 408-0722
Business Location
15733 SAN PEDRO AVE
SAN ANTONIO TX, 78232-3726, US
Phone (210) 493-8378
Fax (210) 408-0722
Toxanomy
Taxonomy Code 3336M0002X
License State
License Number
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According to our database, One Source Medical Group Llc NPI is 1174921803, taxonomy code is 3336M0002X One Source Medical Group Llc physically located at 15733 San Pedro Ave, San Antonio TX, 78232-3726. NPI Number 1033115704 has the healthcare provider type.

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1174921803 NPI number is provided on an as is basis without warranty of any kind. 1174921803 is maintained by the National Plan & Provider Enumeration System. The contents of One Source Medical Group Llc are for informational purposes only.