Modern Compounding Pharmacy in Montpelier - Compounding Pharmacy
Modern Compounding Pharmacy - NPI 1891830550
Modern Compounding Pharmacy is a Compounding Pharmacy in Montpelier, Idaho. Modern Compounding Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Modern Compounding Pharmacy is 1891830550. The last update date is 2020-08-22.
Modern Compounding Pharmacy's current location address is 762 Washington St, Montpelier, Idaho. You can contact this provider via phone number 2088470060 and fax number 2088470090. The mailing address for Modern Compounding Pharmacy is 762 Washington St, Montpelier, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Compounding Pharmacy |
|---|---|
| Address | 762 Washington St, Montpelier, Idaho |
| Phone Number | 2088470060 |
| Fax Number | 2088470090 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Olson A Harold |
| Credentials | PH |
| Telephone Number | 2088470060 |
NPI Number Detail
| NPI Number | 1891830550 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 762 Washington St |
|---|---|
| City | Montpelier |
| State | Idaho (ID) |
| Post Code | 832541422 |
| Phone Number | 2088470060 |
| Fax Number | 2088470090 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 1661LS |
|
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 |
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What is the unique 10-digit identifier code issued to Modern Compounding Pharmacy by the Centers for Medicare & Medicaid Services?
The Modern Compounding Pharmacy has been assigned the NPI (National Provider Identifier) 1891830550 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Modern Compounding Pharmacy?
The Modern Compounding Pharmacy is physically situated at 762 Washington St, in the city of Montpelier, state of ID, with the postal code 832541422.
What is Modern Compounding Pharmacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Modern Compounding Pharmacy is Compounding Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0004X.
When was the Modern Compounding Pharmacy's 1891830550 issued?
The Modern Compounding Pharmacy's 1891830550 was issued on 2007-02-20.
As of what date was the information pertaining to Modern Compounding Pharmacy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Modern Compounding Pharmacy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.