Organization · Type 2 NPI
Medford Compounding & Specialty Pharmacy LLC
Compounding Pharmacy · Medford, NY
Practice location
2612 Route 112
Medford, NY 11763-2522
Fax (631) 654-1508
Mailing address
2608 Route 112
Medford, NY 11763-2551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | 031387 (NY) |
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 1669721239
Medford Compounding & Specialty Pharmacy LLC's National Provider Identifier is 1669721239, issued on Aug 29, 2012. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Medford, NY. The record was last updated on Apr 4, 2017.