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Organization
ECO PHARMACY OF SOUTH AUSTIN LLC
Active
Organization
ECO PHARMACY OF SOUTH AUSTIN LLC
Active
Other names
Austin Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KUYKENDALL (OWNER)
(512) 643-0411
Entity
Organization
Contact information
Practice address
11420 BEE CAVES RD STE B100, AUSTIN, TX 78738
(512) 519-9248
(512) 519-9238
Mailing address
11420 BEE CAVES RD STE B100, AUSTIN, TX 78738-5529
(512) 643-0411
(512) 519-9238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151120
PK
—
Enumeration date
04/02/2015
Last updated
07/27/2018
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