Organization
KEYSTONE PHARMACY MANAGEMENT LLC
Active
Other names
Keystone Rx
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HOHENSEE (OWNER)
(210) 389-6533
Entity
Organization
Contact information
Practice address
351 CYPRESS CREEK RD, STE 100, CEDAR PARK, TX 78613-4528
(512) 258-5533
(512) 258-5549
Mailing address
7538 FAIR OAKS PKWY, BOERNE, TX 78015-4553
(210) 854-7274
(210) 490-7716
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5904102
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2011
Last updated
09/27/2011
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