Genorite Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Austin, TX. Organization (NPI-2).
NPI number1508280652
StatusActive
Last updated in NPPESFeb 2, 2017
Details
- NPI
- 1508280652
- Entity type
- Organization (NPI-2)
- Legal business name
- Genorite Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2014
- Last updated
- Feb 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 29483 | TX | Yes |
Other names
- Genorite Pharmacy (Doing Business As)
Practice location
5200 Davis LnSte 110b
Austin, TX 78749-4064
Phone 512-351-9160 · Fax 512-351-9173
Mailing address
5200 Davis LnSte 110b
Austin, TX 78749-4064
Phone 512-351-9160 · Fax 512-351-9173
Authorized official
Halister Joseph Drummond
Pharmacist In Charge
5123519160
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