Diversified Professional Company in Ogden - Compounding Pharmacy
Diversified Professional Company - NPI 1487736161
Diversified Professional Company is a Compounding Pharmacy in Ogden, Utah. Diversified Professional Company practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Diversified Professional Company is 1487736161. The last update date is 2020-08-22.
Diversified Professional Company's current location address is 1159 E 12th Street, Ogden, Utah. You can contact this provider via phone number 8013343190 and fax number 8013343193. The mailing address for Diversified Professional Company is 1159 E 12th Street, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversified Professional Company |
|---|---|
| Address | 1159 E 12th Street, Ogden, Utah |
| Phone Number | 8013343190 |
| Fax Number | 8013343193 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bailey Lynn Gary |
| Credentials | RPH |
| Telephone Number | 8013343190 |
NPI Number Detail
| NPI Number | 1487736161 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1159 E 12th Street |
|---|---|
| City | Ogden |
| State | Utah (UT) |
| Post Code | 844045144 |
| Phone Number | 8013343190 |
| Fax Number | 8013343193 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870218488006 | UT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Diversified Professional Company by the Centers for Medicare & Medicaid Services?
The Diversified Professional Company has been issued the NPI (National Provider Identifier) 1487736161. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Diversified Professional Company?
The Diversified Professional Company is situated at 1159 E 12Th Street, in the city of Ogden, state of UT, with the zip code 844045144.
What is Diversified Professional Company's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diversified Professional Company'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 Diversified Professional Company receive its 1487736161 assignment from the Centers for Medicare & Medicaid Services?
The Diversified Professional Company was assigned its 1487736161 by the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the Diversified Professional Company's information last updated?
The Diversified Professional Company's information was last updated on 2020-08-22.