MEDICARE: MR. STEVEN PRESTON AUSTIN BS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	6437	NC

General Provider Information

NPI Number	:	1356643761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN PRESTON AUSTIN BS

Provider Business Mailing Address
First Line	:	2441 N CENTER ST
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1320
Country	:	US
Telephone Number	:	828-322-3037
Fax Number	:	828-322-3920

Provider Business Practice Location Address
First Line	:	2441 N CENTER ST
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1320
Country	:	US
Telephone Number	:	828-322-3037
Fax Number	:	828-322-3920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2010
Last Update Date	:	11/18/2010

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