Organization
ASCENSION SETON
Active
Other names
Dell Children's Outpatient Pharmacy - North Campus
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HOLLY (REG DIR NET REV & REIMB)
(512) 324-3269
Entity
Organization
Contact information
Practice address
9010 NORTH LAKE CREEK PKWY, AUSTIN, TX 78717
(512) 324-0000
Mailing address
9010 NORTH LAKE CREEK PKWY, AUSTIN, TX 78717
(512) 324-0000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34565
TSBP
TX
Enumeration date
01/31/2023
Last updated
01/31/2023
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