Organization
38TH STREET PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WARNKEN (PRESIDENT)
(512) 458-3784
Entity
Organization
Contact information
Practice address
711 W 38TH ST STE C3, AUSTIN, TX 78705-1126
(512) 458-3784
(512) 458-1882
Mailing address
711 W 38TH ST STE C3, AUSTIN, TX 78705-1126
(512) 458-3784
(512) 458-1882
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0812860001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143636
—
TX
Enumeration date
08/29/2007
Last updated
11/14/2011
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