Healthcare Provider Details

I. General information

NPI: 1063464469
Provider Name (Legal Business Name): CPRX PHARMACY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 BEE CAVES RD STE 100
WEST LAKE HILLS TX
78746-5310
US

IV. Provider business mailing address

4303 VICTORY DR
AUSTIN TX
78704-7507
US

V. Phone/Fax

Practice location:
  • Phone: 512-382-7393
  • Fax: 512-382-7488
Mailing address:
  • Phone: 512-382-7393
  • Fax: 512-382-7488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number29290
License Number StateTX

VIII. Authorized Official

Name: MICHELLE HOLLE
Title or Position: MANAGER
Credential:
Phone: 512-652-0120