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General NPI Number Information
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NPI Number | 1063464469
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Entity Type | Organization
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Legal Business Name | CPRX PHARMACY LP
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3811 BEE CAVES RD STE 100
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5310
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Country | US
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Telephone | 512-382-7393
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Fax | 512-382-7488
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Provider Business Mailing Address
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Address Line | 4303 VICTORY DR
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City | AUSTIN
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State | TX
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Zip | 78704-7507
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Country | US
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Telephone | 512-382-7393
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Fax | 512-382-7488
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE HOLLE
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Credential |
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Telephone | 512-652-0120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29290
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License Number State | TX
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