Davila Pharmacy, Inc.
LBN: Davila Pharmacy, Inc.
Davila Pharmacy, Inc. is an health care organization with primary practice located at 1423 Guadalupe St Suite 108, San Antonio TX 78207-5527. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Davila Pharmacy, Inc. can be contacted via phone (210) 226-5293, or through Davila, Rudy via phone (210) 226-5293.
Contact Information
Primary practice address
1423 Guadalupe St Suite 108
San Antonio TX 78207-5527
Phone: (210) 226-5293
Fax: (210) 224-9257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 01055 | Texas |
| Suppliers / Specialty Pharmacy | 3336S0011X | 01055 | Texas |
Profile Details
| NPI number | 1205819885 |
|---|---|
| LBN Legal business name | Davila Pharmacy, Inc. |
| DBA Doing business as | |
| Authorized official | Davila, Rudy R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Dec 4th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205819885 | NPPES |
| Texas | Other | 079060201 | CSHCN |
| Texas | MEDICAID | 125943402 | CSHCN |
| Texas | MEDICAID | 125943403 | CSHCN |
| Texas | MEDICAID | 013612901 | CSHCN |
| Texas | Other | 1255943401 | CSHCN |
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