Wyoming Park Pharmacy in Wyoming - Compounding Pharmacy

Wyoming Park Pharmacy - NPI 1962527010

Wyoming Park Pharmacy is a Compounding Pharmacy in Wyoming, Michigan. Wyoming Park Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Wyoming Park Pharmacy is 1962527010. The last update date is 2020-08-22.

Wyoming Park Pharmacy's current location address is 2301 Lee St Sw, Wyoming, Michigan. You can contact this provider via phone number 6165322362 and fax number 6165327378. The mailing address for Wyoming Park Pharmacy is 2301 Lee St Sw, Wyoming, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wyoming Park Pharmacy
Address 2301 Lee St Sw, Wyoming, Michigan
Phone Number 6165322362
Fax Number 6165327378
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Jensen Alan Paul
Credentials R.PH.
Telephone Number 6165322362

NPI Number Detail

NPI Number 1962527010
Provider Enumeration Date 2007-03-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2301 Lee St Sw
City Wyoming
State Michigan (MI)
Post Code 495191620
Phone Number 6165322362
Fax Number 6165327378

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
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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FAQs about Wyoming Park Pharmacy

What is the unique provider identifier assigned to Wyoming Park Pharmacy?

The Wyoming Park Pharmacy has been issued the NPI (National Provider Identifier) 1962527010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Wyoming Park Pharmacy's facilities are geographically located?

The facilities of Wyoming Park Pharmacy are physically situated at the following location: 2301 Lee St Sw, Wyoming, MI, 495191620.

What is Wyoming Park Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Wyoming Park Pharmacy is Compounding Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0004X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962527010 to Wyoming Park Pharmacy?

The Centers for Medicare & Medicaid Services assigned the 1962527010 to Wyoming Park Pharmacy on 2007-03-20.

As of what date was the information regarding Wyoming Park Pharmacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Wyoming Park Pharmacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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