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Portales Professional Compounding Llc
Compounding Pharmacy in Portales, New Mexico
NPI 1679891238

Portales Professional Compounding Llc is a Compounding Pharmacy based in Portales, NM and is specialized in Compounding Pharmacy. Portales Professional Compounding Llc practices in Portales, NM. The NPI Number for Portales Professional Compounding Llc is 1679891238 and holds a License No. PH00002491 (New Mexico).

The current practice location address for Portales Professional Compounding Llc is 1719 S. Ave D, Portales, NM and can be reached out via phone at 575-356-8433.

Location: 1719 S. Ave D, Portales, NM, 88130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679891238
Provider Name
Portales Professional Compounding Llc
Credential
Provider Entity Type
Organization
Address
1719 S. Ave D, Portales, NM, 88130
Phone Number
575-356-8433
Fax Number
Provider Enumeration Date
05/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1719 S. Ave D
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-356-8433
Fax Number
person
Provider Business Mailing Address Details
Address
1719 S. Ave D
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-356-8433
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PH00002491 (New Mexico)
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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