| NPI | 1558474734 |
|---|---|
| Doing Business As | 38TH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY WAYNE WARNKEN President 512-458-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 13873) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0812860001) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-05-18 |