Organization · Type 2 NPI

Health and Human Services Commission

Long Term Care Pharmacy · San Antonio, TX

NPI number 1104270214 Active

Practice location

6711 S New Braunfels Ave Ste 500
San Antonio, TX 78223-3004

Fax (512) 438-5508

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	30767 (TX)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

5 other providers at this address

Other long term care pharmacy providers in San Antonio

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NPI record

NPI: 1104270214
Entity type: Organization (Type 2)
Issued: Apr 15, 2016
Last updated: Nov 17, 2023
Status: Active
Subpart: Yes of Health and Human Services Commission

Other names

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San Antonio State Supported Living Center Pharmacy · other name

Authorized official

Scott Schalchlin
Associate Commissioner
(512) 438-3076

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104270214

Health and Human Services Commission's National Provider Identifier is 1104270214, issued on Apr 15, 2016. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in San Antonio, TX. The record was last updated on Nov 17, 2023.