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Provider Information for 1780023291


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THOUSAND OAKS HEALTHCARE LLC

Other Names:  
Doing Business As: 
RITE-AWAY PHARMACY #5

Organization Subpart: NO

NPI: 1780023291
Last Updated: 2013-06-18
Certification Date:

Details

NameValue
NPI1780023291
Enumeration Date2013-06-18
NPI TypeNPI-2 Organization
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyTX28604