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Pacifico National Inc
Compounding Pharmacy in Melbourne, Florida
NPI 1366416448

Pacifico National Inc is a Compounding Pharmacy based in Melbourne, FL and is specialized in Compounding Pharmacy. Pacifico National Inc practices in Melbourne, FL. The NPI Number for Pacifico National Inc is 1366416448 and holds a License No. 16452MS (Florida).

The current practice location address for Pacifico National Inc is 1515 Elizabeth St, Melbourne, FL and can be reached out via phone at 321-872-0723 and via fax at 321-872-0721.

Location: 1515 Elizabeth St, Melbourne, FL, 32901-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366416448
Provider Name
Pacifico National Inc
Credential
Provider Entity Type
Organization
Address
1515 Elizabeth St, Melbourne, FL, 32901-3000
Phone Number
321-872-0723
Fax Number
321-872-0721
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366416448 05 MN
1366416448 05 IL
226807 05 NH
546330 05 NJ
1000055714 05 WI
1366416448 05 ID
1366416448 05 UT
2856995 05 OH
02199910 05 FL
134038 05 AZ
2013120 01 PK
201352590A 05 IN
7100410000 05 KY
10026562600 05 NE
1028490 05 VT
105780400 05 MD
200647710A 05 OK
1366416448 05 NM
2059467 05 WA
500707688 05 OR
institution
Provider Business Practice Location Address Details
Address
1515 Elizabeth St
City
Melbourne
State
Florida
Zip
32901-3000
Phone Number
321-872-0723
Fax Number
321-872-0721
person
Provider Business Mailing Address Details
Address
1515 Elizabeth St
City
Melbourne
State
Florida
Zip
32901-3000
Phone Number
321-872-0723
Fax Number
321-872-0721
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
16452MS (Idaho)
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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