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Contact Information

HIGHLAND PARK DRUG STORE INC
3801 N CAPITAL OF TEXAS HWY STE G200
AUSTIN, TX78746-1487
 Phone: 512-329-8667
 Fax: 512-327-0706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HIGHLAND PARK DRUG STORE INC

NPI Number 1699868729
LBN Legal business name HIGHLAND PARK DRUG STORE INC
Authorized official THOMAS SANSING - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 06/17/2024 - More than a year ago
Identifiers
TX License # 18867
TX Medicaid 145363
Other 2091027 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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