Provider Demographics
NPI:1821342072
Name:CARE TEAM LC
Entity Type:Organization
Organization Name:CARE TEAM LC
Other - Org Name:AUSTIN COMPOUNDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHNORR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH,
Authorized Official - Phone:512-327-7455
Mailing Address - Street 1:3010 BEE CAVE RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5562
Mailing Address - Country:US
Mailing Address - Phone:512-327-7455
Mailing Address - Fax:512-327-3025
Practice Address - Street 1:3010 BEE CAVE RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5562
Practice Address - Country:US
Practice Address - Phone:512-327-7455
Practice Address - Fax:512-327-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282053336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX28205OtherTSBP
TX5907552OtherNCPDP