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General NPI Number Information
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NPI Number | 1649410770
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Entity Type | Organization
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Legal Business Name | HIGHLAND PARK DRUG STORE INC
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 3801 N CAPITAL OF TEXAS HWY # G205
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City | AUSTIN
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State | TX
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Zip | 78746-1416
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Country | US
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Telephone | 512-617-0993
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Fax | 512-617-0995
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Provider Business Mailing Address
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Address Line | 3801 N CAPITAL OF TEXAS HWY # G205
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City | AUSTIN
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State | TX
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Zip | 78746-1416
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Country | US
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Telephone | 512-617-0993
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Fax | 512-617-0995
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Authorized Official
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Title or Position | PRESIDENT
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Name | TOM SANSING
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Credential |
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Telephone | 512-617-0993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 26326
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License Number State | TX
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