Provider Demographics
NPI:1619350972
Name:COPRX LLC
Entity Type:Organization
Organization Name:COPRX LLC
Other - Org Name:CAMBRIDGE OAKS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAFIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELRAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:407-506-5081
Mailing Address - Street 1:3950 S US HIGHWAY 17/92
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-3295
Mailing Address - Country:US
Mailing Address - Phone:407-960-4712
Mailing Address - Fax:
Practice Address - Street 1:3950 S US HIGHWAY 17/92
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-3295
Practice Address - Country:US
Practice Address - Phone:407-960-4712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336N0007XSuppliersPharmacyNuclear Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy