Organization
COACH'S RX INC
Active
Other names
COACH'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL LOPEZ (CORP SEC)
(956) 514-2420
Entity
Organization
Contact information
Practice address
100 N TX AVENUE, SUITE A, MERCEDES, TX 78570-2747
(956) 514-2420
Mailing address
100 N TX AVE, SUITE A, MERCEDES, TX 78570-2747
(956) 514-2420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
22272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154464501
—
TX
05
—
154464502
—
TX
Enumeration date
05/24/2007
Last updated
12/09/2009
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