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Organization
MEDICAL PARK TOWER PHARMACY
Active
Organization
MEDICAL PARK TOWER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH PEARSON (OWNER)
(512) 454-5626
Entity
Organization
Contact information
Practice address
1301 W 38TH ST, STE. 135, AUSTIN, TX 78705-1000
(512) 454-5626
(512) 454-3939
Mailing address
1301 W 38TH ST, STE. 135, AUSTIN, TX 78705-1000
(512) 454-5626
(512) 454-3939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144753
—
TX
Enumeration date
11/28/2006
Last updated
09/08/2010
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