Individual
AVERY ELIZABETH HOLTESTAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(512) 823-4280
Mailing address
509 THREE FEATHERS CT, GEORGETOWN, TX 78633-2911
(678) 773-2617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70822
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
07/30/2022
Last updated
07/08/2025
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