Organization · Type 2 NPI
Vintage Compounding Pharmacy LLC
Compounding Pharmacy · Albuquerque, NM
Practice location
9821 Montgomery Blvd NE Ste A
Albuquerque, NM 87111-3571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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…
Another provider at this address
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About NPI 1457030900
Vintage Compounding Pharmacy LLC's National Provider Identifier is 1457030900, issued on Jul 12, 2023. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 20, 2023.