Organization · Type 2 NPI

Bolingbrook Pharmacy Inc

Compounding Pharmacy · Bolingbrook, IL

NPI number 1912001967 Active

Practice location

402 W Boughton Rd, Ste C
Bolingbrook, IL 60440-1872

Fax (630) 759-1780

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Compounding Pharmacy Primary 3336C0004X054005594 (IL)

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…

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About NPI 1912001967

Bolingbrook Pharmacy Inc's National Provider Identifier is 1912001967, issued on Sep 12, 2006. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Bolingbrook, IL. The record was last updated on Jan 18, 2017.