Organization · Type 2 NPI
Heimdoll Holdings Inc
Compounding Pharmacy · Grandville, MI
Practice location
4365 Canal Ave SW Ste N, Suite N
Grandville, MI 49418-2697
Fax (616) 288-9870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | 5301011313 (MI) |
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 1992203970
Heimdoll Holdings Inc's National Provider Identifier is 1992203970, issued on Jan 25, 2018. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Grandville, MI. The record was last updated on Jan 25, 2018.