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Organization

AUSTINS PHARMACY INC

Active
Other names
Austin Pharmacy & Medical Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WOLK (PHARMACIST/OWNER)
(410) 773-0300
Entity
Organization

Contact information

Practice address
10757 YORK RD, COCKEYSVILLE, MD 21030-2114
(410) 773-0300
(410) 773-0301
Mailing address
10757 YORK RD, COCKEYSVILLE, MD 21030-2114
(410) 773-0300
(410) 773-0301

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P05668
MD
3336C0004X
Compounding Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2136528
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
02/08/2012
Last updated
04/30/2012
About Stedi
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