Organization
TEXAS COMPOUNDING PHARMACY LLC
Active
Other names
True Custom Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LANDRUM RPH (PHARMACIST IN CHARGE)
(512) 314-5550
Entity
Organization
Contact information
Practice address
5300 BEE CAVES RD, BLDG 3 STE 100, WEST LAKE HILLS, TX 78746-5226
(512) 314-5550
(512) 314-5549
Mailing address
5300 BEE CAVES RD, BLDG 3 STE 100, WEST LAKE HILLS, TX 78746-5226
(512) 314-5550
(512) 314-5549
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26578
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120881
PK
—
Enumeration date
07/06/2009
Last updated
08/25/2015
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