Lscc Georgetown Pharmacy- Williams Drive

LBN: Lscc Georgetown Pharmacy- Williams Drive
Lscc Georgetown Pharmacy- Williams Drive is an health care organization with primary practice located at 2423 Williams Dr Suite 109, Georgetown TX 78628-3200. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lscc Georgetown Pharmacy- Williams Drive can be contacted via phone (512) 686-0155, or through Mundhenk, Rhonda via phone (512) 686-0152.

Contact Information

Primary practice address
2423 Williams Dr Suite 109 Georgetown TX 78628-3200
Phone: (512) 686-0155
Fax: (512) 869-8482
Website:
Map and Directions
Authorized official contact:
Name: Mundhenk, Rhonda
Phone: (512) 686-0152

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 26364 Texas

Profile Details

NPI number 1093956062
LBN Legal business name Lscc Georgetown Pharmacy- Williams Drive
DBA Doing business as Lscc Georgetown Pharmacy- Williams Drive
Authorized official Mundhenk, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2009
Last updated Feb 20th, 2017 - about 9 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 1093956062 NPPES
Other 2119479 PK

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