Organization
COACH'S RX INC
Active
Other names
Coach's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL NONE LOPEZ (PHARMACIST)
(956) 357-0408
Entity
Organization
Contact information
Practice address
100 N TEXAS AVE, SUITE A, MERCEDES, TX 78570-2723
(956) 514-2420
(956) 514-2530
Mailing address
100 N TEXAS AVE, SUITE A, MERCEDES, TX 78570-2723
(956) 514-2420
(956) 514-2530
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22272
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145224
—
TX
Enumeration date
12/11/2006
Last updated
01/03/2022
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