Organization
ECO PHARMACY OF SOUTH AUSTIN LLC
Active
Other names
Austin Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KUYKENDALL (OWNER)
(512) 643-0411
Entity
Organization
Contact information
Practice address
11420 BEE CAVES RD STE B100, AUSTIN, TX 78738
(512) 519-9248
(512) 519-9238
Mailing address
11420 BEE CAVES RD STE B100, AUSTIN, TX 78738-5529
(512) 643-0411
(512) 519-9238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151120
PK
—
Enumeration date
04/02/2015
Last updated
07/27/2018
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