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Medford Compounding & Specialty Pharmacy Llc
Compounding Pharmacy in Medford, New York
NPI 1669721239

Medford Compounding & Specialty Pharmacy Llc is a Compounding Pharmacy based in Medford, NY and is specialized in Compounding Pharmacy. Medford Compounding & Specialty Pharmacy Llc practices in Medford, NY. The NPI Number for Medford Compounding & Specialty Pharmacy Llc is 1669721239 and holds a License No. (New York).

The current practice location address for Medford Compounding & Specialty Pharmacy Llc is 2612 Route 112, Medford, NY and can be reached out via phone at 631-693-1403 and via fax at 631-654-1508.

Location: 2612 Route 112, Medford, NY, 11763-2551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669721239
Provider Name
Medford Compounding & Specialty Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
2612 Route 112, Medford, NY, 11763-2551
Phone Number
631-693-1403
Fax Number
631-654-1508
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2136843 01 PK
institution
Provider Business Practice Location Address Details
Address
2612 Route 112
City
Medford
State
New York
Zip
11763-2522
Phone Number
631-693-1403
Fax Number
631-654-1508
person
Provider Business Mailing Address Details
Address
2612 Route 112
City
Medford
State
New York
Zip
11763-2522
Phone Number
631-693-1403
Fax Number
631-654-1508
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
031387 (New York)
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
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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