Raiine'S Specialty Pharmacy Llc

LBN: Raiine'S Specialty Pharmacy Llc
Raiine'S Specialty Pharmacy Llc is an health care organization with primary practice located at 1880 Round Rock Ave Ste 200 , Round Rock TX 78681-4085. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Raiine'S Specialty Pharmacy Llc can be contacted via phone (512) 767-1174, or through Kota, Keerthan via phone (512) 767-1174.

Contact Information

Primary practice address
1880 Round Rock Ave Ste 200 Round Rock TX 78681-4085
Phone: (512) 767-1174
Fax: (512) 767-1175
Website:
Map and Directions
Authorized official contact:
Name: Kota, Keerthan
Phone: (512) 767-1174

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356863898
LBN Legal business name Raiine'S Specialty Pharmacy Llc
DBA Doing business as
Authorized official Kota, Keerthan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2017
Last updated Mar 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356863898 NPPES
Texas MEDICAID 149821

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