Healthcare Provider Details

I. General information

NPI: 1710259551
Provider Name (Legal Business Name): AUSTINS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2012
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10757 YORK RD
COCKEYSVILLE MD
21030-2114
US

IV. Provider business mailing address

10757 YORK RD
COCKEYSVILLE MD
21030-2114
US

V. Phone/Fax

Practice location:
  • Phone: 410-773-0300
  • Fax: 410-773-0301
Mailing address:
  • Phone: 410-773-0300
  • Fax: 410-773-0301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP05668
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN WOLK
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 410-773-0300