Organization
STONEGATE PHARMACY LP
Active
Other names
STONEGATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RENE GARZA PHARMD (OWNER/PHARMACIST)
(512) 707-2300
Entity
Organization
Contact information
Practice address
2501 W WILLIAM CANNON DR, BLDG 2 STE 203, AUSTIN, TX 78745-5281
(512) 707-2300
(512) 707-2378
Mailing address
2501 W WILLIAM CANNON DR, BLDG 2 STE 203, AUSTIN, TX 78745-5281
(512) 707-2300
(512) 707-2378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24369
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145652
—
TX
01
—
2098761
PK
—
Enumeration date
06/11/2006
Last updated
05/17/2016
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