Individual provider · Type 1 NPI

Ethan Wencho Calderon, RPH

Pharmacist · San Antonio, TX

NPI number 1770155186 Active

Practice location

8535 Tom Slick Dr Ste 104
San Antonio, TX 78229

Mailing address

4219 Ramsgate St
San Antonio, TX 78230-1633

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X65607 (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 1770155186

Ethan Wencho Calderon, RPH's National Provider Identifier is 1770155186, issued on Jul 14, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 14, 2021.