IndividualActive
Blake Wassom, PHARMD
NPI 1669247490 · Ambulatory Care Pharmacist · San Antonio, TX
Provider details
- NPI number
- 1669247490
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 67146 (TX)
Practice location
5282 Medical Dr Ste 250
San Antonio, TX 78229-6039
Phone: (972) 644-2100
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Registry dates
- Enumerated
- 2023-11-21
- Last updated
- 2023-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.