Organization · Type 2 NPI
Island Compounding Pharmacy
Compounding Pharmacy · Grosse Ile, MI
Practice location
24201 Meridian Rd, Suite 1
Grosse Ile, MI 48138-2134
Mailing address
PO Box 419
Grosse Ile, MI 48138-0419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | 5301007758 (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…
4 other providers at this address
About NPI 1235537770
Island Compounding Pharmacy's National Provider Identifier is 1235537770, issued on Dec 16, 2014. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Grosse Ile, MI. The record was last updated on Dec 16, 2014.