Organization · Type 2 NPI
Reviva Compounding Pharmacy LLC
Compounding Pharmacy · Lincoln Park, MI
Practice location
1664 Fort St
Lincoln Park, MI 48146-1909
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…
About NPI 1487566279
Reviva Compounding Pharmacy LLC's National Provider Identifier is 1487566279, issued on Sep 18, 2026. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Lincoln Park, MI. The record was last updated on Sep 18, 2026.