Organization · Type 2 NPI
Pharmacy at 100 NW 170th St, LLC
Compounding Pharmacy · Miami Lakes, FL
Practice location
15485 Eagle Nest Ln Ste 230
Miami Lakes, FL 33014-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | None listed |
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…
About NPI 1215789946
Pharmacy at 100 NW 170th St, LLC's National Provider Identifier is 1215789946, issued on Apr 4, 2024. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Miami Lakes, FL. The record was last updated on Apr 4, 2024.