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Blackburn Drug Llc
Compounding Pharmacy in Jackson, Wyoming
NPI 1275109340

Blackburn Drug Llc is a Compounding Pharmacy based in Jackson, WY and is specialized in Compounding Pharmacy. Blackburn Drug Llc practices in Jackson, WY. The NPI Number for Blackburn Drug Llc is 1275109340 and holds a License No. (Wyoming).

The current practice location address for Blackburn Drug Llc is 545 N Cache St Unit 10-S, Jackson, WY and can be reached out via phone at 307-201-1159 and via fax at 307-201-1553. You can also correspond with Blackburn Drug Llc through the mailing address at PO BOX 11540, JACKSON, WY - 83002-1540 (mailing address contact number: 307-201-1159).

Location: 545 N Cache St Unit 10-S, Jackson, WY, 83002-1540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275109340
Provider Name
Blackburn Drug Llc
Credential
Provider Entity Type
Organization
Address
545 N Cache St Unit 10-S, Jackson, WY, 83002-1540
Phone Number
307-201-1159
Fax Number
307-201-1553
Provider Enumeration Date
05/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
545 N Cache St Unit 10-S
City
Jackson
State
Wyoming
Zip
83001-8685
Phone Number
307-201-1159
Fax Number
307-201-1553
person
Provider Business Mailing Address Details
Address
Po Box 11540
City
Jackson
State
Wyoming
Zip
83002-1540
Phone Number
307-201-1159
Fax Number
307-201-1553
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
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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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