Provider Demographics
NPI:1740994060
Name:AUSTINS PHARMACY INC
Entity type:Organization
Organization Name:AUSTINS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-773-0300
Mailing Address - Street 1:10757 YORK RD
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2114
Mailing Address - Country:US
Mailing Address - Phone:410-773-0300
Mailing Address - Fax:410-773-0302
Practice Address - Street 1:29509 CANVASBACK DR STE 100
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7163
Practice Address - Country:US
Practice Address - Phone:410-770-0300
Practice Address - Fax:410-770-0302
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUSTINS PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment