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Propharm Rx Inc
Compounding Pharmacy in Gillespie, Illinois
NPI 1306102728

Propharm Rx Inc is a Compounding Pharmacy based in Gillespie, IL and is specialized in Compounding Pharmacy. Propharm Rx Inc practices in Gillespie, IL. The NPI Number for Propharm Rx Inc is 1306102728 and holds a License No. (Illinois).

The current practice location address for Propharm Rx Inc is 115 S Macoupin St, Gillespie, IL and can be reached out via phone at 217-839-3233 and via fax at 217-839-3233.

Location: 115 S Macoupin St, Gillespie, IL, 62033-1516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306102728
Provider Name
Propharm Rx Inc
Credential
Provider Entity Type
Organization
Address
115 S Macoupin St, Gillespie, IL, 62033-1516
Phone Number
217-839-3233
Fax Number
217-839-3233
Provider Enumeration Date
04/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1486617 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
115 S Macoupin St
City
Gillespie
State
Illinois
Zip
62033-1516
Phone Number
217-839-3233
Fax Number
217-839-3233
person
Provider Business Mailing Address Details
Address
115 S Macoupin St
City
Gillespie
State
Illinois
Zip
62033-1516
Phone Number
217-839-3233
Fax Number
217-839-3233
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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