Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension Providence

Organization Pharmacy · NPI 1386784304

Ascension Providence is a Pharmacy in Waco, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2

Practice location Address checks out

405 Londonderry Dr Ste 104
Waco, TX 76712-7920
Phone: (254) 751-4915
Fax: (254) 751-4916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 14491 (TX)
Pharmacy Taxonomy 333600000X

Record details

NPI number1386784304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Holly — Reg Dir Net Rev & Reimb · (210) 410-2789
Other names Ascension Providence Plaza Outpatient Pharmacy
NPI enumeratedFebruary 7, 2007
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address405 Londonderry Dr Ste 104, Waco, TX 76712-7920

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