Provider Demographics
NPI:1215217963
Name:CHARY, SESHA C (PHARM D)
Entity Type:Individual
Prefix:
First Name:SESHA
Middle Name:C
Last Name:CHARY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17700 N US HIGHWAY 281
Mailing Address - Street 2:SUITE # 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1404
Mailing Address - Country:US
Mailing Address - Phone:210-267-5501
Mailing Address - Fax:210-267-5502
Practice Address - Street 1:17700 N US HIGHWAY 281
Practice Address - Street 2:SUITE # 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1404
Practice Address - Country:US
Practice Address - Phone:210-267-5501
Practice Address - Fax:210-267-5502
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2004615291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory