Organization
PLUM CREEK PHARMACY LLC
Active
Other names
Plum Creek Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOCCIERI RPH (MANAGER)
(512) 289-0257
Entity
Organization
Contact information
Practice address
4217 BENNER STE 430, KYLE, TX 78640-2555
(512) 289-0257
Mailing address
7905 BELL MOUNTAIN DR, AUSTIN, TX 78730-2818
(512) 289-0257
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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