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Organization

SPELLBOUND LLC

Active
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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

Other

Enumeration date
08/15/2014
Last updated
01/14/2015
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