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.

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Contact Information

DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN

1301 BARBARA JORDAN BLVD
STE 102
AUSTIN, TX 78723-3077

Phone: 512-324-0903
Fax: 512-324-0640
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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

NPI Number 1760566897

LBN Legal business name DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN

Authorized official BRANDON KOENNING - (PIC)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/25/2006

Last updated 07/20/2007 - About 19 years ago

Identifiers

TX	License #	22534
TX	Medicaid	250473
	Other	4528088	OTHER ID NUMBER
	Other	4528088	OTHER ID NUMBER-COMMERCIAL 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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DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN

Contact Information

Specialty

Compounding Pharmacy

Clinic Pharmacy

Community/Retail Pharmacy

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

Reviews for DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN