Organization
A.E. PHARMACY, LLC
Active
Other names
Amazon Pharmacy #001
Organization subpart
No
Provider details
NPI number
Authorized official
TANVI JAYANTI PATEL (VICE PRESIDENT)
(855) 745-5725
Entity
Organization
Contact information
Practice address
4500 S PLEASANT VALLEY ROAD, SUITE 201, AUSTIN, TX 78744-2911
(512) 537-3205
(512) 677-6267
Mailing address
4500 S PLEASANT VALLEY RD STE 201, AUSTIN, TX 78744-2911
(855) 745-5725
(603) 935-9108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149572
—
TX
01
—
2160596
PK
—
05
—
78438217
—
NM
Enumeration date
06/17/2016
Last updated
09/08/2025
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