Organization
ASCENSION SETON
Active
Other names
Ascension Seton Central Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HOLLY (REGIONAL DIR NET REV & REIMB)
(210) 410-2789
Entity
Organization
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7393
Mailing address
1500 RED RIVER ST # 14052, AUSTIN, TX 78701-1918
(512) 324-7393
(512) 324-7366
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134836
PK
—
05
—
251047
—
TX
01
—
5905801
NCPDP
TX
Enumeration date
04/25/2012
Last updated
06/13/2024
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