Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKE TRAVIS PHARMACY PARTNERS LLC
Active
Organization
LAKE TRAVIS PHARMACY PARTNERS LLC
Active
Other names
Lake Hills Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE MCANALLY (OWNER)
(214) 734-8878
Entity
Organization
Contact information
Practice address
12005 BEE CAVE PKWY STE 1A, AUSTIN, TX 78738-6387
(512) 608-9355
Mailing address
12005 BEE CAVE RD, SUITE 1A, AUSTIN, TX 78738
(512) 608-9355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28908
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143234
PK
—
Enumeration date
12/06/2013
Last updated
12/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up