Portage Pharmacy, Inc. in Portage - Compounding Pharmacy
Portage Pharmacy, Inc. - NPI 1992735666
Portage Pharmacy, Inc. is a Compounding Pharmacy in Portage, Michigan. Portage Pharmacy, Inc. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Portage Pharmacy, Inc. is 1992735666. The last update date is 2018-07-19.
Portage Pharmacy, Inc.'s current location address is 7966 Lovers Ln, Portage, Michigan. You can contact this provider via phone number 2693270033 and fax number 2693272709. The mailing address for Portage Pharmacy, Inc. is 7966 Lovers Ln, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portage Pharmacy, Inc. |
|---|---|
| Address | 7966 Lovers Ln, Portage, Michigan |
| Phone Number | 2693270033 |
| Fax Number | 2693272709 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Curtis Lawrence |
| Credentials | R.PH. |
| Telephone Number | 2693270033 |
NPI Number Detail
| NPI Number | 1992735666 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2018-07-19 |
Provider Mailing Address Detail
| Address | 7966 Lovers Ln |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490024446 |
| Phone Number | 2693270033 |
| Fax Number | 2693272709 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 64002337A |
|
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 |
|---|---|---|---|
| 2527217 | MI | -- | |
| 2040070 | PK |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Portage Pharmacy, Inc. by the Centers for Medicare & Medicaid Services?
The Portage Pharmacy, Inc. has been assigned the NPI (National Provider Identifier) 1992735666 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Portage Pharmacy, Inc.?
The Portage Pharmacy, Inc. is situated at 7966 Lovers Ln, in the city of Portage, state of MI, with the zip code 490024446.
What is the area of specialization for Portage Pharmacy, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Portage Pharmacy, Inc. is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992735666 to Portage Pharmacy, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1992735666 to Portage Pharmacy, Inc. on 2006-07-05.
As of what date was the information regarding Portage Pharmacy, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Portage Pharmacy, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-19.
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