Provider Demographics
NPI:1508264052
Name:HUNTER PHARMACY SERVICES
Entity Type:Organization
Organization Name:HUNTER PHARMACY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYANNEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:512-608-1664
Mailing Address - Street 1:3420 EXECUTIVE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1624
Mailing Address - Country:US
Mailing Address - Phone:512-346-9296
Mailing Address - Fax:
Practice Address - Street 1:3420 EXECUTIVE CENTER DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1624
Practice Address - Country:US
Practice Address - Phone:512-346-9296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37048333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy