Ascension Providence
Community/Retail Pharmacy
405 Londonderry Dr Ste 104, Waco
Texas, 76712-7920
254-751-4915 254-751-4916
Ascension Providence is a Community/Retail Pharmacy in Waco, Texas. It is located at 405 Londonderry Dr Ste 104, Waco and it's customer support contact number is 254-751-4915. The authorized person of Ascension Providence is Julie L Holly who is Reg Dir Net Rev & Reimb of the pharmacy and his contact number is 210-410-2789. Active license number of Ascension Providence is 14491 for Community/Retail Pharmacy in Texas.
Ascension Providence is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Ascension Providence type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Ascension Providence |
| Type: | Community/Retail Pharmacy |
| Location: | 405 Londonderry Dr Ste 104, Waco,
Texas, 76712-7920 |
| Phone: | 254-751-4915 |
| Fax: | 254-751-4916 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Julie L Holly |
| Position: | Reg Dir Net Rev & Reimb |
| Contact Number: | 210-410-2789 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1386784304 |
| NPI Enumeration Date: | 07 Feb, 2007 |
| NPI Last Update On: | 16 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ascension Providence are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 14491 | Texas | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 370017 | Medicaid | Texas | |
| 2099862 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 405 Londonderry Dr Ste 104,
Waco, Texas |
| Zip: | 76712-7920 |
| Phone Number: | 254-751-4915 |
| Fax Number: | 254-751-4916 |
Patients can reach Ascension Providence at
405 Londonderry Dr Ste 104, Waco, Texas or can
call on customer care at 254-751-4915.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.