Provider Demographics
NPI:1831297712
Name:CONTRERAS, PATRICIA LYNETTE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LYNETTE
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-3427
Mailing Address - Country:US
Mailing Address - Phone:210-696-0171
Mailing Address - Fax:210-699-2208
Practice Address - Street 1:5788 ECKHERT RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3900
Practice Address - Country:US
Practice Address - Phone:210-699-2107
Practice Address - Fax:210-699-2208
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist