Organization
AUSTIN PHARMACY INC
Active
Other names
Austin Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WOLK (OWNER)
(410) 982-0800
Entity
Organization
Contact information
Practice address
901 DULANEY VALLEY RD, SUITE 300, TOWSON, MD 21204-2600
(410) 982-0800
(410) 982-0802
Mailing address
901 DULANEY VALLEY RD, SUITE 300, TOWSON, MD 21204-2600
(410) 982-0800
(410) 982-0802
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P06076
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545188400
—
MD
Enumeration date
10/18/2013
Last updated
10/18/2013
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