Provider Demographics
NPI:1538759311
Name:CONNOR, PATRICK LEE (PHARMD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:LEE
Last Name:CONNOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 EVANS RD APT 5208
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7043
Mailing Address - Country:US
Mailing Address - Phone:956-285-3089
Mailing Address - Fax:
Practice Address - Street 1:22832 US HIGHWAY 281 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7430
Practice Address - Country:US
Practice Address - Phone:210-679-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist