| NPI | 1578987814 |
|---|---|
| Doing Business As | AUSTIN COMMUNITY COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARY ANDERSEN Owner 503-704-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NY 32632) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-07-18 |