Organization · Type 2 NPI
Portales Professional Compounding LLC
Compounding Pharmacy · Portales, NM
Practice location
1719 S. Ave D
Portales, NM 88130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | PH00002491 (NM) |
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 1679891238
Portales Professional Compounding LLC's National Provider Identifier is 1679891238, issued on May 6, 2010. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Portales, NM. The record was last updated on May 6, 2010.