<Unavail>
LBN: Custom Compounding Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 3816 Ringgold Rd , Chattanooga TN 37412-1640. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Custom Compounding Pharmacy Llc can be contacted via phone (423) 629-0353, or through Musick, Joe via phone (423) 629-0353.
Contact Information
Primary practice address
3816 Ringgold Rd
Chattanooga TN 37412-1640
Phone: (423) 629-0353
Fax: (423) 629-9646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0000003295 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1417095407 |
|---|---|
| LBN Legal business name | Custom Compounding Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Musick, Joe RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 20th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417095407 | NPPES |
| Other | 4432061 | OTHER ID NUMBER | |
| Other | 4432061 | OTHER ID NUMBER |
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