Extend Care Pharmacy Services

LBN: Autell Pharmacy Inc
Extend Care Pharmacy Services is an health care organization with primary practice located at 1246-A1 Hwy 377 Ste 200 , Pilot Point TX 76258. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Autell Pharmacy Inc can be contacted via phone (940) 686-2140, or through Autell, Mary via phone (940) 686-2218.

Contact Information

Primary practice address
1246-A1 Hwy 377 Ste 200 Pilot Point TX 76258
Phone: (940) 686-2140
Fax: (940) 686-9218
Website:
Map and Directions
Authorized official contact:
Name: Autell, Mary CPHT
Phone: (940) 686-2218

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 19116 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1992710594
LBN Legal business name Autell Pharmacy Inc
DBA Doing business as Extend Care Pharmacy Services
Authorized official Autell, Mary CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1992710594 NPPES
Texas MEDICAID 350126
Texas Other 4502515

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