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NPI Code Detail

MEDICARE: AUSTIN COMPOUNDING PHARMACY, LLC

MEDICARE: AUSTIN COMPOUNDING PHARMACY, LLC
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
13336C0004XCompounding Pharmacy
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1710616222
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUSTIN COMPOUNDING PHARMACY, LLC
Provider Business Mailing Address
First Line : 3010 BEE CAVES RD STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78746-5526
Country : US
Telephone Number : 512-327-7455
Fax Number : 512-327-3025
Provider Business Practice Location Address
First Line : 3010 BEE CAVES RD STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78746-5526
Country : US
Telephone Number : 512-327-7455
Fax Number : 512-327-3025
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : DR. HALISTER JOSEPH DRUMMOND
Credential : PHARMD
Telephone Number : 512-327-7455
Provider Enumeration Date : 06/09/2022
Last Update Date : 07/02/2025

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Directions to “AUSTIN COMPOUNDING PHARMACY, LLC ” Practice Location

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