Ace Medical Pharmacy

LBN: Ace Medical Pharmacy
Ace Medical Pharmacy is an health care organization with primary practice located at 611 W Ben White Blvd , Austin TX 78704-7187. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ace Medical Pharmacy can be contacted via phone (512) 444-2391, or through Mayhall, Paul via phone (512) 444-2391.

Contact Information

Primary practice address
611 W Ben White Blvd Austin TX 78704-7187
Fax: (512) 444-5560
Website:
Authorized official contact:
Name: Mayhall, Paul RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 22286 Texas

Profile Details

NPI number 1912196932
LBN Legal business name Ace Medical Pharmacy
DBA Doing business as
Authorized official Mayhall, Paul RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Oct 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912196932 NPPES
Texas MEDICAID 145209
Texas Other 4512960

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