Organization · Type 2 NPI

Ascension Providence

Community/Retail Pharmacy · Waco, TX

NPI number 1386784304 Active

Practice location

405 Londonderry Dr Ste 104
Waco, TX 76712-7920

Fax (254) 751-4916

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	14491 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

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About NPI 1386784304

Ascension Providence's National Provider Identifier is 1386784304, issued on Feb 7, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Waco, TX. The record was last updated on Sep 16, 2025.