Organization
PRESTIGE WORLDWIDE PHARMA LLC
Active
Other names
Hill Country Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY ILES KLATT II PHARM.D. (OFFICER)
(361) 227-0412
Entity
Organization
Contact information
Practice address
1430 S MAIN ST STE 105, BOERNE, TX 78006-3334
(830) 224-0090
(830) 224-0095
Mailing address
1430 S MAIN ST STE 105, BOERNE, TX 78006-3334
(830) 224-0090
(830) 224-0095
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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