<Unavail>

LBN: Tarrytown Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 2727 Exposition Blvd Ste 105, Austin TX 78703-1228. The organization recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Ambulatory Health Care Facilities / Primary Care, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tarrytown Pharmacy Llc can be contacted via phone (512) 478-6419, or through Newberry, Mark via phone (512) 478-6419.

Contact Information

Primary practice address
2727 Exposition Blvd Ste 105 Austin TX 78703-1228
Phone: (512) 478-6419
Fax: (512) 478-1638
Website:
Map and Directions
Authorized official contact:
Name: Newberry, Mark
Phone: (512) 478-6419

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X
Pharmacy Service Providers / Pharmacist 183500000X
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1812 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1942384078
LBN Legal business name Tarrytown Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Newberry, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 31st, 2022 - 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 1942384078 NPPES
Texas MEDICAID 110162
Texas Other 2093490

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