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Pain Management Centers Of America, Psc
Compounding Pharmacy in Evansville, Indiana
NPI 1912461468

Pain Management Centers Of America, Psc is a Compounding Pharmacy based in Evansville, IN and is specialized in Compounding Pharmacy. Pain Management Centers Of America, Psc practices in Evansville, IN. The NPI Number for Pain Management Centers Of America, Psc is 1912461468 and holds a License No. (Indiana).

The current practice location address for Pain Management Centers Of America, Psc is 1101 Professional Blvd Ste 212, Evansville, IN and can be reached out via phone at 812-618-1065 and via fax at 812-379-8096.

Location: 1101 Professional Blvd Ste 212, Evansville, IN, 47714-8018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912461468
Provider Name
Pain Management Centers Of America, Psc
Credential
Provider Entity Type
Organization
Address
1101 Professional Blvd Ste 212, Evansville, IN, 47714-8018
Phone Number
812-618-1065
Fax Number
812-379-8096
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60006697B 01 IN IN CSR
institution
Provider Business Practice Location Address Details
Address
1101 Professional Blvd Ste 212
City
Evansville
State
Indiana
Zip
47714-8016
Phone Number
812-618-1065
Fax Number
812-379-8096
person
Provider Business Mailing Address Details
Address
1101 Professional Blvd Ste 212
City
Evansville
State
Indiana
Zip
47714-8016
Phone Number
812-618-1065
Fax Number
812-379-8096
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
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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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