Provider Demographics
NPI:1780058966
Name:DRUMMOND, HALISTER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HALISTER
Middle Name:
Last Name:DRUMMOND
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 BEE CAVES RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5526
Mailing Address - Country:US
Mailing Address - Phone:512-327-7455
Mailing Address - Fax:512-351-9173
Practice Address - Street 1:3010 BEE CAVES RD STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5526
Practice Address - Country:US
Practice Address - Phone:512-327-7455
Practice Address - Fax:512-351-9173
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-25
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist