Organization
AUSTIN'S PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTINE ERUACHABOR ATIYOTA PHARM.D (CEO)
(760) 922-5966
Entity
Organization
Contact information
Practice address
1345 W HOBSONWAY, BLYTHE, CA 92225-1425
(760) 921-2017
Mailing address
1345 W HOBSONWAY, BLYTHE, CA 92225-1425
(760) 921-2017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 49945
CA
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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