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NPI Code Detail

MEDICARE: ASHLEY NICOLE AUSTIN PHARMD

MEDICARE: ASHLEY NICOLE AUSTIN PHARMD
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
1183500000XPharmacist56893TX

General Provider Information

NPI Number : 1750981130
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE AUSTIN PHARMD
Provider Business Mailing Address
First Line : 602 CIBOLO VALLEY DR
Second Line :
City : CIBOLO
State : TX
Zip : 78108-3801
Country : US
Telephone Number : 210-659-9245
Fax Number :
Provider Business Practice Location Address
First Line : 602 CIBOLO VALLEY DR
Second Line :
City : CIBOLO
State : TX
Zip : 78108-3801
Country : US
Telephone Number : 210-659-9245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 10/27/2020

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Directions to “ ASHLEY NICOLE AUSTIN PHARMD” Practice Location

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