LAKE TRAVIS PHARMACY PARTNERS NPI 1750778783

NPI Information

LAKE TRAVIS PHARMACY PARTNERS is a long term care pharmacy pharmacy in Austin, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LAKE TRAVIS PHARMACY PARTNERS NPI is 1750778783. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Hills Pharmacy.

The provider's business location address is:

12005 BEE CAVES ROAD
SUITE 1A
AUSTIN, TX
ZIP 78738
Phone: (512) 608-9355
Fax: (512) 608-9265

The provider's authorized official is Jobby John .
The authorized official title is Pharmacist/partner and has the following contact phone number (512) 608-9355.

The CLIA number assigned to this NPI record is 45D2186211 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2015 and was last updated on 4/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.