Organization
AUSTIN PHARMACY INC
Active
Other names
RABIN DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR MAZZENGA RPH (OWNER)
(773) 685-2277
Entity
Organization
Contact information
Practice address
307 S MILWAUKEE AVE, SUITE 109, WHEELING, IL 60090-5076
(847) 229-5477
(847) 229-8448
Mailing address
307 S MILWAUKEE AVE, SUITE 109, WHEELING, IL 60090-5076
(847) 229-5477
(847) 229-8448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054014320
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401758
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/28/2006
Last updated
04/06/2012
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