Individual provider · Type 1 NPI

Kelly Newcom

Pharmacist · Boerne, TX

NPI number 1104156447 Active

Practice location

1223 S Main St
Boerne, TX 78006-2813

Mailing address

178 Yaupon Trl
San Antonio, TX 78256-1625

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X40754 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104156447

Kelly Newcom's National Provider Identifier is 1104156447, issued on Jan 9, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boerne, TX. The record was last updated on Jan 9, 2010.