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1509 S Lamar Blvd Ste 550 Austin TX 78704-2965 | |
| (512) 442-6777 | |
| (512) 442-0555 |
| Full Name | |
|---|---|
| Speciality | Pharmacy |
| Location | 1509 S Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Lynh Warnken (CO-OWNER, PHAMD) |
| Authorized Official Contact | 5124426777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1509 S Lamar Blvd Ste 550 Austin TX 78704-2965 Ph: (512) 442-6777 | 1509 S Lamar Blvd Ste 550 Austin TX 78704-2965 Ph: (512) 442-6777 |
| NPI Number | 1679666028 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 3375569379 |
|---|---|
| Medicare Enrollment ID | O20201021001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679666028 | NPI | - | NPPES |
| 145689 | Medicaid | TX | |
| 2119683 | Other | PK |
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