Organization
THE AUSTIN DIAGNOSTIC CLINIC ASSOCIATION
Active
Other names
The Austin Diagnostic Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE R LANCASTER (PHARMACY MANAGER)
(205) 795-8800
Entity
Organization
Contact information
Practice address
12221 N MOPAC EXPY, SUITE 100, AUSTIN, TX 78758-2401
(512) 901-4797
(512) 901-3967
Mailing address
PO BOX 55379, DEPT # 10100 C/O PHARMAPOINT, BIRMINGHAM, AL 35255-5379
(205) 795-8800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30073
TX
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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