MEDICARE: HUNTER PHARMACY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	37048	TX

General Provider Information

NPI Number	:	1508264052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTER PHARMACY SERVICES

Provider Business Mailing Address
First Line	:	3420 EXECUTIVE CENTER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-1624
Country	:	US
Telephone Number	:	512-346-9296
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 EXECUTIVE CENTER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-1624
Country	:	US
Telephone Number	:	512-346-9296
Fax Number	:

Authorized Official
Title or Position	:	CONSULTANT PHARMACIST
Name	:	MS. MARJAN ARYANNEJAD
Credential	:	ETC
Telephone Number	:	512-608-1664

Provider Enumeration Date	:	12/16/2014
Last Update Date	:	12/16/2014

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