Provider Demographics
NPI:1144583709
Name:SA PRESCRIPTIONS INC.
Entity Type:Organization
Organization Name:SA PRESCRIPTIONS INC.
Other - Org Name:NETCARE DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BUCHMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:210-490-4320
Mailing Address - Street 1:1524 PLEASANTON RD.
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1146
Mailing Address - Country:US
Mailing Address - Phone:210-236-5650
Mailing Address - Fax:210-236-7304
Practice Address - Street 1:1524 PLEASANTON RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1146
Practice Address - Country:US
Practice Address - Phone:210-236-5650
Practice Address - Fax:210-236-7304
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SA PRESCRIPTIONS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167964901Medicaid
TX167964902Medicaid