Organization
HIGHLAND PARK DRUG STORE INC
Active
Other names
NORTHWEST HILLS AT DAVENPORT
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SANSING RPH (PRESIDENT)
(512) 329-8667
Entity
Organization
Contact information
Practice address
3801 N CAPITAL OF TEXAS HWY STE G200, AUSTIN, TX 78746-1487
(512) 329-8667
(512) 327-0706
Mailing address
3801 N CAPITAL OF TEXAS HWY STE G200, AUSTIN, TX 78746-1487
(512) 329-8667
(512) 327-0706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145363
—
TX
01
—
2091027
PK
—
Enumeration date
10/02/2006
Last updated
06/17/2024
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