Ascension Providence

NPI #1386784304 in Waco, Texas

Provider Information

NPI Number
1386784304
Entity Type
Organization
Organization Name
Ascension Providence
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 7, 2007
Last Updated
Sep 16, 2025

Practice Location

Address
405 LONDONDERRY DR STE 104
City
Waco
State
Texas
ZIP Code
76712-7920
Phone
(254) 751-4915

Authorized Official

Name
JULIE L HOLLY
Title
REG DIR NET REV & REIMB
Phone
(210) 410-2789

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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