Provider Demographics
NPI:1881067510
Name:IPHARMACY, LLC
Entity type:Organization
Organization Name:IPHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-951-9000
Mailing Address - Street 1:7333 BARLITE BLVD STE 400A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1320
Mailing Address - Country:US
Mailing Address - Phone:210-951-9000
Mailing Address - Fax:210-951-9001
Practice Address - Street 1:7333 BARLITE BLVD STE 400A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1320
Practice Address - Country:US
Practice Address - Phone:210-951-9000
Practice Address - Fax:210-951-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2016-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30382333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy