Organization
38TH STREET PHARMACY, INC.
Active
Other names
38th Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WAYNE WARNKEN RPH (PRESIDENT)
(512) 458-3784
Entity
Organization
Contact information
Practice address
711 W 38TH ST STE C3, AUSTIN, TX 78705-1126
(512) 458-3784
(512) 458-1882
Mailing address
711 W 38TH ST STE C3, AUSTIN, TX 78705-1126
(512) 458-3784
(512) 458-1882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13873
TX
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
0812860001
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0812860001
MEDICARE
TX
05
—
143636
—
TX
01
—
4582587
NABP
—
Enumeration date
08/15/2006
Last updated
05/18/2023
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