Custom Compounding Pharmacy Llc in Chattanooga - Community/retail Pharmacy

Custom Compounding Pharmacy Llc - NPI 1417095407

Custom Compounding Pharmacy Llc is a Community/retail Pharmacy in Chattanooga, Tennessee. Custom Compounding Pharmacy Llc practices all healthcare services and medical treatments related to Community/retail 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 Community/retail Pharmacy
Taxonomy 3336C0003X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4432061 OTHER ID NUMBER
4432061 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Custom Compounding Pharmacy Llc

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 Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.

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.

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