Spicewood Specialty Pharmacy

LBN: Texas Prescription Providers Llc
Spicewood Specialty Pharmacy is an health care organization with primary practice located at 911 W Anderson Ln Ste 117, Austin TX 78757-1501. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Texas Prescription Providers Llc can be contacted via phone (512) 600-3170, or through Shepard, Will via phone (210) 669-2909.

Contact Information

Primary practice address
911 W Anderson Ln Ste 117 Austin TX 78757-1501
Phone: (512) 600-3170
Fax: (512) 600-3171
Website:
Map and Directions
Authorized official contact:
Name: Shepard, Will
Phone: (210) 669-2909

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 26733 Texas
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1508196221
LBN Legal business name Texas Prescription Providers Llc
DBA Doing business as Spicewood Specialty Pharmacy
Authorized official Shepard, Will
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Apr 29th, 2010 - about 14 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 1508196221 NPPES
Other 4554831 NCPDP PROVIDER IDENTIFICATION NUMBER

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