Provider Demographics
NPI:1861727125
Name:SALTARSKA, YVONNA M (PHARMD)
Entity type:Individual
Prefix:
First Name:YVONNA
Middle Name:M
Last Name:SALTARSKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18231 OPENFOREST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-3617
Mailing Address - Country:US
Mailing Address - Phone:210-402-6721
Mailing Address - Fax:
Practice Address - Street 1:18231 OPENFOREST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-3617
Practice Address - Country:US
Practice Address - Phone:210-402-6721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47401183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist