Organization
AUTELL PHARMACY INC
Active
Other names
EXTEND CARE PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MARY AUTELL CPHT (TREASURER)
(940) 686-2218
Entity
Organization
Contact information
Practice address
1246-A1 HWY 377 STE 200, PILOT POINT, TX 76258
(940) 686-2140
(940) 686-9218
Mailing address
1246-A1 HWY 377 STE 200, PILOT POINT, TX 76258
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
19116
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350126
—
TX
01
—
4502515
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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