| Tarrytown Pharmacy | |
|
2727 Exposition Blvd Ste 100 Austin TX 78703-1229 | |
| (512) 478-6419 | |
| Not Available |
| Full Name | Tarrytown Pharmacy |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2727 Exposition Blvd Ste 100, Austin, Texas |
| Authorized Official Name and Position | Mark D Newberry (OWNER) |
| Authorized Official Contact | 5124786419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarrytown Pharmacy 2727 Exposition Blvd Ste 105 Austin TX 78703-1227 | Tarrytown Pharmacy 2727 Exposition Blvd Ste 100 Austin TX 78703-1229 Ph: (512) 478-6419 |
| NPI Number | 1972133544 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972133544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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