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Custom Compounding Pharmacy Llc
Compounding Pharmacy in Chattanooga, Tennessee
NPI 1417095407

Custom Compounding Pharmacy Llc is a Compounding Pharmacy based in Chattanooga, TN and is specialized in Compounding Pharmacy. Custom Compounding Pharmacy Llc practices in Chattanooga, TN. The NPI Number for Custom Compounding Pharmacy Llc is 1417095407 and holds a License No. (Tennessee).

The current practice location address for Custom Compounding Pharmacy Llc is 3816 Ringgold Rd, Chattanooga, TN and can be reached out via phone at 423-629-0353 and via fax at 423-629-9646.

Location: 3816 Ringgold Rd, Chattanooga, TN, 37412-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417095407
Provider Name
Custom Compounding Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
3816 Ringgold Rd, Chattanooga, TN, 37412-1640
Phone Number
423-629-0353
Fax Number
423-629-9646
Provider Enumeration Date
02/02/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4432061 01 OTHER ID NUMBER
4432061 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
3816 Ringgold Rd
City
Chattanooga
State
Tennessee
Zip
37412-1640
Phone Number
423-629-0353
Fax Number
423-629-9646
person
Provider Business Mailing Address Details
Address
3816 Ringgold Rd
City
Chattanooga
State
Tennessee
Zip
37412-1640
Phone Number
423-629-0353
Fax Number
423-629-9646
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
0000003295 (Tennessee)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
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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