Organization
CHEMIST LABORATORY, LLC
Active
Other names
Hill Country Apothecary Bee Cave
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO MACIAS (PHARMACY TEAMS COORDINATOR)
(512) 351-9139
Entity
Organization
Contact information
Practice address
3944 RANCH ROAD 620 S BLDG 6, AUSTIN, TX 78738-6301
(512) 351-9139
(512) 366-5573
Mailing address
3944 RANCH ROAD 620S, BLDG 6, AUSTIN, TX 78738
(512) 351-9139
(512) 366-5573
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31984
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176626
PK
—
Enumeration date
05/08/2018
Last updated
05/08/2018
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