Organization
SPELLBOUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEEN MARIE COCO (OWNER/PHARMACIST IN CHARGE)
(512) 788-2285
Entity
Organization
Contact information
Practice address
2600 BEE CREEK ROAD SUITE 1, SPICEWOOD, TX 78669-6711
(512) 788-2285
(512) 344-9595
Mailing address
2600 BEE CREEK ROAD SUITE 1, SPICEWOOD, TX 78669-6711
(512) 788-2285
(512) 344-9595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
29343
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
08/15/2014
Last updated
01/14/2015
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