Custom Compounding Pharmacy Llc in Chattanooga - Pharmacy
Custom Compounding Pharmacy Llc - NPI 1417095407
Custom Compounding Pharmacy Llc is a Pharmacy in Chattanooga, Tennessee. Custom Compounding Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Custom Compounding Pharmacy Llc is 1417095407. The last update date is 2007-07-20.
Custom Compounding Pharmacy Llc's current location address is 3816 Ringgold Rd, Chattanooga, Tennessee. You can contact this provider via phone number 4236290353 and fax number 4236299646. The mailing address for Custom Compounding Pharmacy Llc is 3816 Ringgold Rd, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Compounding Pharmacy Llc |
|---|---|
| Address | 3816 Ringgold Rd, Chattanooga, Tennessee |
| Phone Number | 4236290353 |
| Fax Number | 4236299646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Musick Joe |
| Credentials | RPH |
| Telephone Number | 4236290353 |
NPI Number Detail
| NPI Number | 1417095407 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 3816 Ringgold Rd |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 3741216400 |
| Phone Number | 4236290353 |
| Fax Number | 4236299646 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4432061 | OTHER ID NUMBER | ||
| 4432061 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Custom Compounding Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Custom Compounding Pharmacy Llc has been issued the NPI (National Provider Identifier) 1417095407, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Custom Compounding Pharmacy Llc is physically located?
The Custom Compounding Pharmacy Llc is situated at the following address: 3816 Ringgold Rd, Chattanooga, TN 3741216400.
What is Custom Compounding Pharmacy Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Custom Compounding Pharmacy Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
When did Custom Compounding Pharmacy Llc receive its 1417095407 assignment?
The Custom Compounding Pharmacy Llc was assigned its 1417095407 on 2007-02-02, which is the date when this unique identifier was issued to the organization.
When was the Custom Compounding Pharmacy Llc's information last updated?
The Custom Compounding Pharmacy Llc's information was last updated on 2007-07-20.
Address: 4222 Paysphere Cir, Chicago, IL
Address: 675 E Highway 60, Hardinsburg, KY
Address: 906 S Bryan Rd, Mission, TX
Address: 1600 Broadway, Denver, CO
Address: 26834 Lawrence, Center Line, MI
Address: 2 Pin Oak Ln, Cherry Hill, NJ
Address: 4222 Paysphere Circle, Chicago, IL
Address: 4420 E Miraloma Ave Ste F, Anaheim, CA
Address: 3802 Corporex Park Dr, Tampa, FL
Address: 4222 Paysphere Circle, Chicago, IL
Address: Po Box 2497, Guayama, PR
Address: 1834 Marc Ave, Andover, KS
Address: 8333 Felch St, Zeeland, MI
Address: 1 Medical Park Blvd Ste 106, Bristol, TN
Address: 1834 Marc Ave, Andover, KS