Dekalb Memorial Pharmacare Llc in Auburn - Compounding Pharmacy
Dekalb Memorial Pharmacare Llc - NPI 1720126295
Dekalb Memorial Pharmacare Llc is a Compounding Pharmacy in Auburn, Indiana. Dekalb Memorial Pharmacare Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Dekalb Memorial Pharmacare Llc is 1720126295. The last update date is 2016-08-15.
Dekalb Memorial Pharmacare Llc's current location address is 1314 E 7th St Ste 104, Auburn, Indiana. You can contact this provider via phone number 2609258000 and fax number 2609259500. The mailing address for Dekalb Memorial Pharmacare Llc is 1314 E 7th St Ste 104, Auburn, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Memorial Pharmacare Llc |
|---|---|
| Address | 1314 E 7th St Ste 104, Auburn, Indiana |
| Phone Number | 2609258000 |
| Fax Number | 2609259500 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Polkow Craig |
| Telephone Number | 2609254600 |
NPI Number Detail
| NPI Number | 1720126295 |
|---|---|
| Provider Enumeration Date | 2007-02-04 |
| Last Updated Date | 2016-08-15 |
Provider Mailing Address Detail
| Address | 1314 E 7th St Ste 104 |
|---|---|
| City | Auburn |
| State | Indiana (IN) |
| Post Code | 467062533 |
| Phone Number | 2609258000 |
| Fax Number | 2609259500 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2129458 | PK | ||
| 10029410A | IN | -- |
Post Comment/ Review Below
What is the Dekalb Memorial Pharmacare Llc's 1720126295?
The Dekalb Memorial Pharmacare Llc's NPI (National Provider Identifier) Number is 1720126295. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dekalb Memorial Pharmacare Llc?
The Dekalb Memorial Pharmacare Llc is situated at 1314 E 7Th St Ste 104, in the city of Auburn, state of IN, with the zip code 467062533.
What is Dekalb Memorial Pharmacare Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dekalb Memorial Pharmacare Llc's area of specialization is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0004X.
On what date did the Dekalb Memorial Pharmacare Llc receive the assignment of its 1720126295 from the Centers for Medicare & Medicaid Services?
The Dekalb Memorial Pharmacare Llc was issued its 1720126295 by the Centers for Medicare & Medicaid Services on 2007-02-04.
When was the information pertaining to Dekalb Memorial Pharmacare Llc most recently updated or revised?
The details related to Dekalb Memorial Pharmacare Llc, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-15.