Provider Information for 1780023291
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THOUSAND OAKS HEALTHCARE LLC
Other Names:Doing Business As:RITE-AWAY PHARMACY #5Organization Subpart: NO
NPI: 1780023291
Last Updated: 2013-06-18
Certification Date:
Certification Date:
Details
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NPI | 1780023291 | ||||||||
Enumeration Date | 2013-06-18 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: ROHIT CHAUDHARY Title: Manager Phone: 2109237717 | ||||||||
Mailing Address | 2115 PLEASANTON RD 100 SAN ANTONIO, TX 78221-1321 United States Phone: 210-923-7717 | Fax:210-923-3720 | ||||||||
Primary Practice Address | 2115 PLEASANTON RD 100 SAN ANTONIO, TX 78221-1321 United States Phone: 210-923-7717 | Fax:210-923-3720 | ||||||||
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