Individual provider · Type 1 NPI

Leila Petok

Clinic Pharmacy · San Antonio, TX

NPI number 1255991279 Active

Practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Mailing address

2510 Moray Ln
Cedar Park, TX 78613-4339

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy Primary 3336C0002XNone listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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About NPI 1255991279

Leila Petok's National Provider Identifier is 1255991279, issued on Jun 20, 2019. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in San Antonio, TX. The record was last updated on Jun 20, 2019.