Organization
AUTREY I V THERAPY
Active
Other names
AUTREY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT AUTREY RPH (PARTNER AND PHARMACIST IN CHRG)
(956) 548-0801
Entity
Organization
Contact information
Practice address
1205 CENTRAL BLVD, BROWNSVILLE, TX 78520-7531
(956) 548-0801
(956) 548-0802
Mailing address
1205 CENTRAL BLVD, BROWNSVILLE, TX 78520-7531
(956) 548-0801
(956) 548-0802
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
14445
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14445
TX
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014497401
—
TX
05
—
094677401
—
TX
05
—
094677402
—
TX
05
—
094677403
—
TX
05
—
320021
—
TX
01
—
4583236
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2006
Last updated
03/21/2012
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