Tarrytown Expocare Pharmacy

LBN: Tarrytown Expocare, Llc
Tarrytown Expocare Pharmacy is an health care organization with primary practice located at 8500 Shoal Creek Blvd Bldg 1 , Austin TX 78757-6888. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Tarrytown Expocare, Llc can be contacted via phone (512) 617-7312, or through Newberry, Mark D via phone (512) 617-7312.

Contact Information

Primary practice address
8500 Shoal Creek Blvd Bldg 1 Austin TX 78757-6888
Fax: (512) 617-7313
Website:
Authorized official contact:
Name: Newberry, Mark D PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 28150 Texas

Profile Details

NPI number 1508112392
LBN Legal business name Tarrytown Expocare, Llc
DBA Doing business as Tarrytown Expocare Pharmacy
Authorized official Newberry, Mark D PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2012
Last updated Apr 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508112392 NPPES
Other 2137179 PK
MEDICAID 351075 PK
MEDICAID 146679 PK

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