Provider Demographics
NPI:1306841432
Name:IV CARE OF SA. INC
Entity Type:Organization
Organization Name:IV CARE OF SA. INC
Other - Org Name:NETCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-256-8629
Mailing Address - Street 1:6428 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1511
Mailing Address - Country:US
Mailing Address - Phone:210-256-8629
Mailing Address - Fax:210-256-8199
Practice Address - Street 1:6428 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1511
Practice Address - Country:US
Practice Address - Phone:210-256-8629
Practice Address - Fax:210-256-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167964901Medicare ID - Type Unspecified
TX167964902Medicare ID - Type Unspecified