Autrey I V Therapy

NPI 1588752224

Information of Autrey I V Therapy

The NPI 1588752224 is an Organization type. NPI No 1588752224 belongs to Autrey I V Therapy. Autrey I V Therapy specializes in Compounding Pharmacy. is practising at 1205 Central Blvd, Brownsville, Texas 78520. You can also contact him via phone number (956) 548-0801.

Practice address located

  • 1205 Central Blvd
  • Brownsville, Texas 78520
  • (956) 548-0801
  • (956) 548-0801

Mailling address located

  • 1205 Central Blvd
  • Brownsville, Texas 78520
  • (956) 548-0801
  • (956) 548-0802
NPI No 1588752224
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No251E00000XHome Health14445Texas
No332B00000XDurable Medical Equipment & Medical Suppliesn/an/a
No333600000XPharmacyn/an/a
Yes3336C0003XCommunity/Retail Pharmacy14445Texas
No3336C0004XCompounding Pharmacyn/an/a
No3336H0001XHome Infusion Therapy Pharmacyn/an/a
No3336L0003XLong Term Care Pharmacyn/an/a
No3336S0011XSpecialty Pharmacyn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
TX014497401Medicaidn/a
n/a0317530001Medicare NSCn/a
TX094677401Medicaidn/a
TX094677402Medicaidn/a
TX094677403Medicaidn/a
TX320021Medicaidn/a
n/a4583236OtherNCPDP PROVIDER IDENTIFICATION NUMBER
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