# AUTELL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EXTEND CARE PHARMACY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992710594
- **Authorized official:** MARY AUTELL CPHT (TREASURER)
- **Authorized official phone:** (940) 686-2218

## Contact information

- **Practice address:** 1246-A1 HWY 377 STE 200, PILOT POINT, TX 76258
- **Practice address phone:** (940) 686-2140
- **Practice address fax:** (940) 686-9218
- **Mailing address:** 1246-A1 HWY 377 STE 200, PILOT POINT, TX 76258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 19116 | TX | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 350126 | — | TX |
| 01 | — | 4502515 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |