Tiger Town Compounding Inc in Commerce - Compounding Pharmacy

Tiger Town Compounding Inc - NPI 1396925491

Tiger Town Compounding Inc is a Compounding Pharmacy in Commerce, Georgia. Tiger Town Compounding Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Tiger Town Compounding Inc is 1396925491. The last update date is 2013-08-02.

Tiger Town Compounding Inc's current location address is 2025 Homer Rd, Commerce, Georgia. You can contact this provider via phone number 7063350099 and fax number 7063350078. The mailing address for Tiger Town Compounding Inc is 2025 Homer Rd, Commerce, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tiger Town Compounding Inc
Address 2025 Homer Rd, Commerce, Georgia
Phone Number 7063350099
Fax Number 7063350078
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bost Kim
Credentials PHRMD
Telephone Number 7063350099

NPI Number Detail

NPI Number 1396925491
Provider Enumeration Date 2007-11-07
Last Updated Date 2013-08-02

Provider Mailing Address Detail

Address 2025 Homer Rd
City Commerce
State Georgia (GA)
Post Code 305291255
Phone Number 7063350099
Fax Number 7063350078

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Licence No PHRE09389
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2016757 PK

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FAQs about Tiger Town Compounding Inc

What is the Tiger Town Compounding Inc's 1396925491?

The Tiger Town Compounding Inc's NPI (National Provider Identifier) Number is 1396925491. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Tiger Town Compounding Inc is physically located?

The Tiger Town Compounding Inc is situated at the following address: 2025 Homer Rd, Commerce, GA 305291255.

What is Tiger Town Compounding Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Tiger Town Compounding Inc's area of specialization is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0004X.

On what date was the 1396925491 assigned to Tiger Town Compounding Inc?

The Tiger Town Compounding Inc was issued its 1396925491 on 2007-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Tiger Town Compounding Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tiger Town Compounding Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-02.

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