Professional Compounding Of Roswell Inc

LBN: Professional Compounding Of Roswell Inc
Professional Compounding Of Roswell Inc is an health care organization with primary practice located at 700 N Union Ave , Roswell NM 88201-3956. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Professional Compounding Of Roswell Inc can be contacted via phone (575) 622-6578, or through Shannon, Charles via phone (575) 622-6578.

Contact Information

Primary practice address
700 N Union Ave Roswell NM 88201-3956
Phone: (575) 622-6578
Fax: (575) 623-3801
Website:
Map and Directions
Authorized official contact:
Name: Shannon, Charles RPH
Phone: (575) 622-6578

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X PH00002305 New Mexico

Profile Details

NPI number 1689714552
LBN Legal business name Professional Compounding Of Roswell Inc
DBA Doing business as Professional Compounding Of Roswell Inc
Authorized official Shannon, Charles RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 31st, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689714552 NPPES
Other 2058933 PK

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