Organization
VINA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY RAGLAND RPH (PIC)
(512) 970-7326
Entity
Organization
Contact information
Practice address
4700 SETON CENTER PKWY, STE 115, AUSTIN, TX 78759-5295
(512) 372-0440
(512) 372-0442
Mailing address
4700 SETON CENTER PKWY, STE 115, AUSTIN, TX 78759-5295
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
25203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145713
—
TX
01
—
4542723
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
09/11/2025
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