Organization
HGS PHARMACY LLC
Active
Other names
HGS Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WINTANA GABRE-BERHAN (OWNER)
(206) 372-3509
Entity
Organization
Contact information
Practice address
9434 PARKFIELD DR STE A, AUSTIN, TX 78758-6227
(512) 593-3751
(512) 249-7512
Mailing address
9434 PARKFIELD DR, SUITE A, AUSTIN, TX 78758-6227
(512) 593-3751
(512) 249-7512
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177287
PK
—
Enumeration date
06/26/2017
Last updated
07/19/2018
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