# SPRINGWOOD PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPRINGWOOD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417551417
- **Authorized official:** DR. MELISSA TIEU (MANAGER)
- **Authorized official phone:** (361) 894-6835

## Contact information

- **Practice address:** 6404 NURSERY DRIVE, SUITE 101, VICTORIA, TX 77904
- **Practice address phone:** (361) 894-6835
- **Practice address fax:** (361) 894-6836
- **Mailing address:** PO BOX 3484, VICTORIA, TX 77903-3484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/30/2020
- **Last updated:** 09/30/2021