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Bolingbrook Compounding Pharmacy
Compounding Pharmacy in Bolingbrook, Illinois
NPI 1588082127

Bolingbrook Compounding Pharmacy is a Compounding Pharmacy based in Bolingbrook, IL and is specialized in Compounding Pharmacy. Bolingbrook Compounding Pharmacy practices in Bolingbrook, IL. The NPI Number for Bolingbrook Compounding Pharmacy is 1588082127 and holds a License No. 054005594 (Illinois).

The current practice location address for Bolingbrook Compounding Pharmacy is 402 W Boughton Rd Ste C, Bolingbrook, IL and can be reached out via phone at 630-759-6464 and via fax at 630-759-1780.

Location: 402 W Boughton Rd Ste C, Bolingbrook, IL, 60440-1985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588082127
Provider Name
Bolingbrook Compounding Pharmacy
Credential
Provider Entity Type
Organization
Address
402 W Boughton Rd Ste C, Bolingbrook, IL, 60440-1985
Phone Number
630-759-6464
Fax Number
630-759-1780
Provider Enumeration Date
04/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2144727 01 PK
institution
Provider Business Practice Location Address Details
Address
402 W Boughton Rd Ste C
City
Bolingbrook
State
Illinois
Zip
60440-1985
Phone Number
630-759-6464
Fax Number
630-759-1780
person
Provider Business Mailing Address Details
Address
402 W Boughton Rd Ste C
City
Bolingbrook
State
Illinois
Zip
60440-1985
Phone Number
630-759-6464
Fax Number
630-759-1780
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
054005594 (Illinois)
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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