Organization · Type 2 NPI

Coffee RX LLC

Community/Retail Pharmacy · Round Rock, TX

NPI number 1285139030 Active

Practice location

106 S Mays St Ste 100
Round Rock, TX 78664

Fax (512) 238-1148

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	31891 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1285139030
Entity type: Organization (Type 2)
Issued: Mar 26, 2018
Last updated: Aug 16, 2018
Status: Active

Other names

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Industria Coffee & Pharmacy · doing business as
Industria Coffee & Pharmacy · doing business as

Authorized official

Van Cowan
Pharmacist In Charge/ao
(512) 466-2966

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285139030

Coffee RX LLC's National Provider Identifier is 1285139030, issued on Mar 26, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Round Rock, TX. The record was last updated on Aug 16, 2018.