National Provider Identifier Database

DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN
1301 BARBARA JORDAN BLVD
STE 102
AUSTIN, TX78723-3077
Phone: 512-324-0903
Fax: 512-324-0640
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN

NPI Number 1760566897
Legal business name
LBN
DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN
Authorized official BRANDON KOENNING - (PIC)
Entity Organization
Organization subpart No
Enumeration date 10/25/2006
Last updated 07/20/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 22534
  • TX Medicaid: 250473
  • Other: 4528088 OTHER ID NUMBER
  • Other: 4528088 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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