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Contact Information

ACE MEDICAL PHARMACY
611 W BEN WHITE BLVD
AUSTIN, TX78704-7187
 Phone: 512-444-2391
 Fax: 512-444-5560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ACE MEDICAL PHARMACY

NPI Number 1912196932
LBN Legal business name ACE MEDICAL PHARMACY
Authorized official PAUL MAYHALL - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2007
Last updated 10/16/2007 - About 19 years ago
Identifiers
TX License # 22286
TX Medicaid 145209
Other 4512960 OTHER ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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