FRANK M TEJADA OPC PHARMACY (2785)    INSTITUTION (4)

Name Value
NAME FRANK M TEJADA OPC PHARMACY
STATE TEXAS
STREET ADDR. 1 5788 Eckert Road
CITY San Antonio
ZIP 78240-3900
OFFICIAL VA NAME Frank M Tejada OPC Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FRANK M. TEJADA VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 5788 Eckert Road
CITY (MAILING) San Antonio
STATE (MAILING) TEXAS
ZIP (MAILING) 78240-3900
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1164480018
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1164480018