institution
Pharmedium Services Llc
Compounding Pharmacy in Cleveland, Mississippi
NPI 1013167824

Pharmedium Services Llc is a Compounding Pharmacy based in Cleveland, MS and is specialized in Compounding Pharmacy. Pharmedium Services Llc practices in Cleveland, MS. The NPI Number for Pharmedium Services Llc is 1013167824 and holds a License No. 05336/02.0 (Mississippi).

The current practice location address for Pharmedium Services Llc is 913 N Davis Ave, Cleveland, MS and can be reached out via phone at 662-846-5969 and via fax at 662-864-2614.

Location: 913 N Davis Ave, Cleveland, MS, 38732-2106
institution
Provider Profile Details
NPI Number
1013167824
Provider Name
Pharmedium Services Llc
Credential
Provider Entity Type
Organization
Address
913 N Davis Ave, Cleveland, MS, 38732-2106
Phone Number
662-846-5969
Fax Number
662-864-2614
Provider Enumeration Date
09/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2587357 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
913 N Davis Ave
City
State
Zip
38732-2106
Phone Number
662-846-5969
Fax Number
662-864-2614
person
Provider Business Mailing Address Details
Address
913 N Davis Ave
City
State
Zip
38732-2106
Phone Number
662-846-5969
Fax Number
662-864-2614
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
05336/02.0 (Mississippi)
Definition
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 compounding practice.
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