Provider Demographics
NPI:1538218995
Name:DUNCAN PHARMACY INC
Entity type:Organization
Organization Name:DUNCAN PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PIC
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-532-1345
Mailing Address - Street 1:3110 NOGALITOS
Mailing Address - Street 2:STE 107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78225-2336
Mailing Address - Country:US
Mailing Address - Phone:210-532-1345
Mailing Address - Fax:830-709-0363
Practice Address - Street 1:3110 NOGALITOS
Practice Address - Street 2:STE 107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78225-2336
Practice Address - Country:US
Practice Address - Phone:210-532-1345
Practice Address - Fax:210-568-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253273336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4543319OtherNCPDP PROVIDER IDENTIFICATION NUMBER