Tarrytown Pharmacy
Pharmacy, Community/Retail Pharmacy in Austin, TX. Organization (NPI-2).
NPI number1265620587
StatusActive
Last updated in NPPESOct 11, 2007
Details
- NPI
- 1265620587
- Entity type
- Organization (NPI-2)
- Legal business name
- Tarrytown Pharmacy
- Organization subpart
- No
- Enumeration date
- Oct 11, 2007
- Last updated
- Oct 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
3111 W 35th StAustin, TX 78703-1109
Phone 512-478-6419
Mailing address
2425 Exposition Blvd Ste DAustin, TX 78703-2262
Phone 512-478-6419
Authorized official
Mark David Newberry
President
5124786419
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