Organization · Type 2 NPI
Diversified Professional Company
Compounding Pharmacy · Ogden, UT
Practice location
1159 E 12th Street
Ogden, UT 84404-5144
Fax (801) 334-3193
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 1487736161
Diversified Professional Company's National Provider Identifier is 1487736161, issued on Oct 20, 2006. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Ogden, UT. The record was last updated on Aug 22, 2020.