Basic Information
Provider Information
NPI: 1275834186
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA
FirstName: ARNALDO
MiddleName: JAVIER
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 619 MOONDANCE PEAK
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782514293
CountryCode: US
TelephoneNumber: 7573206098
FaxNumber:  
Practice Location
Address1: 2200 BERGQUIST DR
Address2: 59PSQ/SGVPI
City: LACKLAND AFB
State: TX
PostalCode: 78236
CountryCode: US
TelephoneNumber: 2102927216
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/09/2010
LastUpdateDate: 11/09/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X0202210318VAY Pharmacy Service ProvidersPharmacist 

No ID Information.


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