Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Parent organization
HEALTH AND HUMAN SERVICES COMMISSION
Other names
Austin State Supported Living Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH AND HUMAN SERVICES COMMISSION
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSIONER)
(512) 438-3076
Entity
Organization
Contact information
Practice address
2203 W 35TH ST, AUSTIN, TX 78703-1203
(512) 454-4731
(512) 459-5352
Mailing address
2203 W 35TH ST, AUSTIN, TX 78703-1203
(512) 454-4731
(512) 459-5352
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
6014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4513037
NCPDP
TX
Enumeration date
11/20/2006
Last updated
11/17/2023
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