Babcock Square

LBN: William Ward Wynn
Babcock Square is an health care organization with primary practice located at 5824 Babcock Rd , San Antonio TX 78240-2134. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. William Ward Wynn can be contacted via phone (210) 696-6269, or through Wynn, Bill via phone (210) 696-6269.

Contact Information

Primary practice address
5824 Babcock Rd San Antonio TX 78240-2134
Phone: (210) 696-6269
Fax: (210) 696-8915
Website:
Map and Directions
Authorized official contact:
Name: Wynn, Bill
Phone: (210) 696-6269

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 06217 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1063524973
LBN Legal business name William Ward Wynn
DBA Doing business as Babcock Square
Authorized official Wynn, Bill
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 1st, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063524973 NPPES
Texas MEDICAID 142155
Texas Other 2102615

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