Provider Demographics
NPI:1437189529
Name:S&S&S, INC
Entity Type:Organization
Organization Name:S&S&S, INC
Other - Org Name:TALON COMPOUNDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-424-0025
Mailing Address - Street 1:2950 THOUSAND OAKS DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3361
Mailing Address - Country:US
Mailing Address - Phone:210-424-0025
Mailing Address - Fax:210-424-0026
Practice Address - Street 1:2950 THOUSAND OAKS DR
Practice Address - Street 2:SUITE 7
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3361
Practice Address - Country:US
Practice Address - Phone:210-424-0025
Practice Address - Fax:210-424-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222671835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4983490001Medicare NSC