Organization
TOTH ENTERPRISES II
Active
Other names
Victory Medical & Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON M HOLLE (MANAGER)
(512) 652-0120
Entity
Organization
Contact information
Practice address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
Mailing address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26581
TX
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4553423
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/13/2009
Last updated
02/18/2014
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