NPI

Buena Vista Pharmacy Inc

Doing business as Super Drug Mart Telepharmacy. Phone (830) 751-2700 · Fax (830) 751-2724 · NPI 1851738066

Read from the NPPES registry on October 25, 2026.

Super Drug Mart Telepharmacy pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2013-05-29
Last updated
2013-05-29

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Specialties

Licenses

License TX
10582

Location

Practice location
146 Laurel Vista Dr
City
Pipe Creek TX
Postal code
78063-6389
Phone
(830) 751-2700
Fax
(830) 751-2724

Organization contact

Name
Raymond Ibanez
Title
Pharmacist in Charge/Owner
Phone
(210) 674-1900

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Pipe Creek, TX. 28 records in the public file.

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