Provider Demographics
NPI:1487744876
Name:STONE OAK PHARMACY, LP
Entity type:Organization
Organization Name:STONE OAK PHARMACY, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY / PIC / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:F
Authorized Official - Last Name:GARZA-GONGORA
Authorized Official - Suffix:II
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:210-494-4272
Mailing Address - Street 1:18866 STONE OAK PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4181
Mailing Address - Country:US
Mailing Address - Phone:210-494-4272
Mailing Address - Fax:210-494-0200
Practice Address - Street 1:18866 STONE OAK PKWY
Practice Address - Street 2:SUITE: 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-494-4272
Practice Address - Fax:210-494-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacyGroup - Single Specialty
No3336C0004XSuppliersPharmacyCompounding Pharmacy