Organization
TARRYTOWN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID NEWBERRY PHARMD (PRESIDENT)
(512) 478-6419
Entity
Organization
Contact information
Practice address
3111 W 35TH ST, AUSTIN, TX 78703-1109
(512) 478-6419
Mailing address
2425 EXPOSITION BLVD STE D, AUSTIN, TX 78703-2262
(512) 478-6419
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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