Organization
NEIGHBORHOOD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE I GUTIERREZ PHARMACIST (OWNER/PHARMACIST)
(512) 476-4751
Entity
Organization
Contact information
Practice address
2620 E 7TH ST, AUSTIN, TX 78702-3958
(512) 476-4751
(512) 476-5830
Mailing address
2620 E 7TH ST, AUSTIN, TX 78702-3958
(512) 476-4751
(512) 476-5830
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
05616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141969
MEDICARE 4513291
TX
Enumeration date
10/24/2007
Last updated
10/24/2007
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