Organization · Type 2 NPI
Specialty Medicine Compounding Pharmacy
Compounding Pharmacy · South Lyon, MI
Practice location
350 S Lafayette St
South Lyon, MI 48178-1814
Fax (248) 486-1906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | 5301007610 (MI) |
Compounding Pharmacy: 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 practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
Another provider at this address
About NPI 1083770978
Specialty Medicine Compounding Pharmacy's National Provider Identifier is 1083770978, issued on Dec 28, 2006. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in South Lyon, MI. The record was last updated on Apr 19, 2013.