Organization · Type 2 NPI

Pharmacy Specialty Services

Compounding Pharmacy · Johnson City, TN

NPI number 1104001809 Active

Practice location

1301 N Roan St
Johnson City, TN 37601-3941

Call (423) 928-3130 Map

Fax (423) 928-2249

Specialties and licenses

TaxonomyCodeLicense
Compounding Pharmacy Primary 3336C0004X0000003619 (TN)

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…

5 other providers at this address

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About NPI 1104001809

Pharmacy Specialty Services's National Provider Identifier is 1104001809, issued on Jan 2, 2008. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Johnson City, TN. The record was last updated on Jun 5, 2008.