Your Compounding Pharmacy, Llc in Indiana - Community/retail Pharmacy
Your Compounding Pharmacy, Llc - NPI 1619090024
Your Compounding Pharmacy, Llc is a Community/retail Pharmacy in Indiana, Pennsylvania. Your Compounding Pharmacy, Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Your Compounding Pharmacy, Llc is 1619090024. The last update date is 2023-03-30.
Your Compounding Pharmacy, Llc's current location address is 280 Indian Springs Rd, Indiana, Pennsylvania. You can contact this provider via phone number 7244639300 and fax number 7244639301. The mailing address for Your Compounding Pharmacy, Llc is 280 Indian Springs Rd, Indiana, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Your Compounding Pharmacy, Llc |
|---|---|
| Address | 280 Indian Springs Rd, Indiana, Pennsylvania |
| Phone Number | 7244639300 |
| Fax Number | 7244639301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kodman Albert James |
| Telephone Number | 7244639300 |
NPI Number Detail
| NPI Number | 1619090024 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2023-03-30 |
Provider Mailing Address Detail
| Address | 280 Indian Springs Rd |
|---|---|
| City | Indiana |
| State | Pennsylvania (PA) |
| Post Code | 157013676 |
| Phone Number | 7244639300 |
| Fax Number | 7244639301 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PP414041L |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180749 | OH | -- | |
| 102834523002 | PA | -- | |
| PP414041L | PA | PA STATE PHARMACY PERMIT |
Post Comment/ Review Below
What is the unique provider identifier assigned to Your Compounding Pharmacy, Llc?
The Your Compounding Pharmacy, Llc has been issued the NPI (National Provider Identifier) 1619090024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Your Compounding Pharmacy, Llc is physically located?
The Your Compounding Pharmacy, Llc is physically situated at the following address: 280 Indian Springs Rd, Indiana, PA, 157013676.
What is the Your Compounding Pharmacy, Llc's area of specialization and corresponding taxonomy classification?
The Your Compounding Pharmacy, Llc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1619090024 to Your Compounding Pharmacy, Llc?
The Centers for Medicare & Medicaid Services assigned the 1619090024 to Your Compounding Pharmacy, Llc on 2007-04-09.
As of what date were the Your Compounding Pharmacy, Llc's details last updated?
The information pertaining to the Your Compounding Pharmacy, Llc, including its address, specialty, and other details, was most recently updated on 2023-03-30.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY