Organization
TEXAS STATE UNIVERSITY
Active
Organization
TEXAS STATE UNIVERSITY
Active
Other names
Texas State University Student Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIO CARRANCO JR. M.D. (STUDENT HEALTH CENTER DIRECTOR)
(512) 245-2161
Entity
Organization
Contact information
Practice address
298 STUDENT CENTER DR., SAN MARCOS, TX 78666
(512) 245-3590
(512) 245-3652
Mailing address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4684
(512) 245-3590
(512) 245-3652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06046
STATE BOARD
TX
01
—
4567763
NABP
TX
Enumeration date
02/06/2007
Last updated
08/25/2022
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