Organization · NPI-2

38th Street Pharmacy, INC.

Durable Medical Equipment & Medical Supplies · Austin, TX

NPI number1871787176
StatusActive
Last updated in NPPESNov 14, 2011

Details

NPI
1871787176
Entity type
Organization (NPI-2)
Legal business name
38th Street Pharmacy, INC.
Organization subpart
No
Enumeration date
Aug 29, 2007
Last updated
Nov 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies0812860001TXYes

Practice location

711 W 38th St Ste C3
Austin, TX 78705-1126

Phone 512-458-3784 · Fax 512-458-1882

Mailing address

711 W 38th St Ste C3
Austin, TX 78705-1126

Phone 512-458-3784 · Fax 512-458-1882

Authorized official

Jeffrey Warnken
President
5124583784

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