Organization · Type 2 NPI
American Custom Compounding Pharmacy
Compounding Pharmacy · Dallas, TX
Practice location
2607 Walnut Hill Ln, Suite 220
Dallas, TX 75229-5638
Fax (214) 366-0298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | 27976 (TX) |
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…
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About NPI 1114266889
American Custom Compounding Pharmacy's National Provider Identifier is 1114266889, issued on Jan 31, 2013. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Dallas, TX. The record was last updated on Jan 31, 2013.