Provider Demographics
NPI:1487161220
Name:ECONOMICAL PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:ECONOMICAL PHARMACY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:OROSCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-862-7514
Mailing Address - Street 1:PO BOX 40338
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-1338
Mailing Address - Country:US
Mailing Address - Phone:210-862-7514
Mailing Address - Fax:
Practice Address - Street 1:4030 CULEBRA RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-5893
Practice Address - Country:US
Practice Address - Phone:830-584-2180
Practice Address - Fax:830-584-2181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX317823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2175307OtherPK
TX149763Medicaid