Organization
CENTERWELL PHARMACY, INC.
Active
Other names
Humana Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization
Contact information
Practice address
1860 S SEGUIN AVE, NEW BRAUNFELS, TX 78130-3914
(830) 387-7558
Mailing address
1860 S SEGUIN AVE, NEW BRAUNFELS, TX 78130-3914
(830) 387-7560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155599
PK
—
Enumeration date
12/02/2015
Last updated
05/06/2026
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