Tracy Lee Champagne RPH

NPI 1093055105 - Pharmacist - 183500000X

NPI Details
NPI 1093055105
Gender Male
Enumeration Date 02/26/2013
Last Updated 02/26/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2110 NEW SLAUGHTER LN
AUSTIN TX, 78748-5992, US
Phone (512) 282-0990
Fax (512) 280-6046
Business Location
2110 NEW SLAUGHTER LN
AUSTIN TX, 78748-5992, US
Phone (512) 282-0990
Fax (512) 280-6046
Toxanomy
Taxonomy Code 183500000X
License State Texas
License Number 28325
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According to our database, Mr. Tracy Lee Champagne RPH NPI is 1093055105, taxonomy code is 183500000X and license number is 28325, license state is located at Texas. Tracy Lee Champagne RPH physically located at 2110 New Slaughter Ln, Austin TX, 78748-5992. NPI Number Tracy Lee Champagne RPH has the Individual type.

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1093055105 NPI number is provided on an as is basis without warranty of any kind. 1093055105 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Lee Champagne RPH are for informational purposes only.