Organization
HILL COUNTRY DRUG LLC
Active
Other names
Lone Star Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHINE A THAN PHARMD (CO-OWNER)
(830) 964-3615
Entity
Organization
Contact information
Practice address
1395 SATTLER RD, STE 8, NEW BRAUNFELS, TX 78132-2295
(830) 964-3615
(830) 964-2553
Mailing address
PO BOX 2229, CANYON LAKE, TX 78133-0009
(830) 964-3615
(830) 964-2553
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149640
—
TX
01
—
4572966
NABP
—
Enumeration date
08/22/2006
Last updated
05/06/2020
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