Organization
LAKE TRAVIS PHARMACY PARTNERS
Active
Other names
Lake Hills Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOBBY JOHN PHARM.D (PHARMACIST/PARTNER)
(512) 608-9355
Entity
Organization
Contact information
Practice address
12005 BEE CAVES ROAD, SUITE 1A, AUSTIN, TX 78738
(512) 608-9355
(512) 608-9265
Mailing address
12005 BEE CAVES ROAD, SUITE 1A, AUSTIN, TX 78738
(512) 608-9355
(512) 608-9265
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285065870
NPI
TX
Enumeration date
04/16/2015
Last updated
04/16/2015
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