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Organization
VMC PHARMACY AT STONEGATE, LLC
Active
Organization
VMC PHARMACY AT STONEGATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON M HOLLE (MANAGER)
(512) 462-3627
Entity
Organization
Contact information
Practice address
2501 W WILLIAM CANNON DR, AUSTIN, TX 78745-5281
(512) 276-2595
(512) 284-7577
Mailing address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
(512) 462-3431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
28906
TX
3336C0003X
Community/Retail Pharmacy
Primary
28906
TX
3336C0004X
Compounding Pharmacy
28906
TX
Other
Enumeration date
11/27/2013
Last updated
02/18/2014
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