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Organization
PRESTIGE WORLDWIDE PHARMA LLC
Active
Organization
PRESTIGE WORLDWIDE PHARMA LLC
Active
Other names
Hill Country Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY ILES KLATT II PHARM.D. (OFFICER)
(361) 227-0412
Entity
Organization
Contact information
Practice address
1430 S MAIN ST STE 105, BOERNE, TX 78006-3334
(830) 224-0090
(830) 224-0095
Mailing address
1430 S MAIN ST STE 105, BOERNE, TX 78006-3334
(830) 224-0090
(830) 224-0095
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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