Organization
APA PHARMACY LLC
Active
Other names
APA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MISKIMINS (MANAGER, THIRD PARTY & LICENSING)
(817) 572-0009
Entity
Organization
Contact information
Practice address
2501 W WILLIAM CANNON DR STE 401C, AUSTIN, TX 78745-5281
(512) 681-2700
(512) 681-2701
Mailing address
1620 W. NORTHWEST HWY, STE. 100, GRAPEVINE, TX 76051
(817) 572-0009
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158243
PK
—
Enumeration date
02/23/2016
Last updated
06/30/2016
About Stedi
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