Healthcare Provider Details

I. General information

NPI: 1265343859
Provider Name (Legal Business Name): ANNE ELISE NOWLIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE ELISE RIDER

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5251 W HIGHWAY 290 STE 101
AUSTIN TX
78735-8963
US

IV. Provider business mailing address

181 TABAGO CT
AUSTIN TX
78737-9354
US

V. Phone/Fax

Practice location:
  • Phone: 512-654-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50514
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: