NPI 1134540917 · live from the CMS NPI Registry
3 Wild Ones LLC
Pharmacy, Community/Retail Pharmacy in San Antonio, TX. National Provider Identifier 1134540917, active.
NPI record
| NPI | 1134540917 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 26108 Overlook Pkwy, Bldg 4, San Antonio, TX 78260 |
| Practice phone | 210-819-4515 |
| Mailing address | 33 Sulfur Cyn, San Antonio, TX 78247 |
| Enumerated | December 23, 2013 |
| Last updated | March 19, 2025 |
| Authorized official | Christopher Berard, Owner |
| Other names | Good Life Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.