Austin Pharmacy

LBN: Austin Pharmacy
Austin Pharmacy is an health care organization with primary practice located at 15558 Fm 1004 W , Buna TX 77612. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Austin Pharmacy can be contacted via phone (409) 994-3578, or through West, Russell Cleve via phone (409) 994-3578.

Contact Information

Primary practice address
15558 Fm 1004 W Buna TX 77612
Fax: (409) 994-5718
Website:
Authorized official contact:
Name: West, Russell Cleve R.PH.

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15224 Texas
Pharmacy Service Providers / Pharmacist 183500000X 19231 Texas
Pharmacy Service Providers / Pharmacy Technician 183700000X 116106 Texas
Pharmacy Service Providers / Pharmacy Technician 183700000X 112330 Texas

Profile Details

NPI number 1316032428
LBN Legal business name Austin Pharmacy
DBA Doing business as
Authorized official West, Russell Cleve R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 7th, 2023 - about last year

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 1316032428 NPPES
Texas Other 17483 STORE LICENSE
Texas Other 4588286 STORE LICENSE

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