<Unavail>

LBN: South Austin Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 4203A James Casey St , Austin TX 78745-1108. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. South Austin Pharmacy Llc can be contacted via phone (512) 383-9000, or through Al-Wishah, Haider via phone (512) 708-0370.

Contact Information

Primary practice address
4203A James Casey St Austin TX 78745-1108
Phone: (512) 383-9000
Fax: (512) 383-9006
Website:
Map and Directions
Authorized official contact:
Name: Al-Wishah, Haider
Phone: (512) 708-0370

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28387 Texas

Profile Details

NPI number 1801132873
LBN Legal business name South Austin Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Al-Wishah, Haider
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2012
Last updated Feb 12th, 2013 - about 13 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 1801132873 NPPES
Texas MEDICAID 1801132873
Texas Other 5907893

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