Provider Demographics
NPI:1922878776
Name:TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN CAMPUS
Entity Type:Organization
Organization Name:TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN CAMPUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:OLAYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUDU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D, MBA-HC
Authorized Official - Phone:832-824-5250
Mailing Address - Street 1:9835 N LAKE CREEK PKWY
Mailing Address - Street 2:PA180
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717
Mailing Address - Country:US
Mailing Address - Phone:737-229-4400
Mailing Address - Fax:737-229-4401
Practice Address - Street 1:9835 N LAKE CREEK PKWY
Practice Address - Street 2:PA180
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717
Practice Address - Country:US
Practice Address - Phone:737-229-4400
Practice Address - Fax:737-229-4401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS CHILDREN'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-03
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy