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Portage Pharmacy, Inc.
Compounding Pharmacy in Portage, Michigan
NPI 1992735666

Portage Pharmacy, Inc. is a Compounding Pharmacy based in Portage, MI and is specialized in Compounding Pharmacy. Portage Pharmacy, Inc. practices in Portage, MI. The NPI Number for Portage Pharmacy, Inc. is 1992735666 and holds a License No. 5301002930 (Michigan).

The current practice location address for Portage Pharmacy, Inc. is 7966 Lovers Ln, Portage, MI and can be reached out via phone at 269-327-0033 and via fax at 269-327-2709.

Location: 7966 Lovers Ln, Portage, MI, 49002-4446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992735666
Provider Name
Portage Pharmacy, Inc.
Credential
Provider Entity Type
Organization
Address
7966 Lovers Ln, Portage, MI, 49002-4446
Phone Number
269-327-0033
Fax Number
269-327-2709
Provider Enumeration Date
07/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2527217 05 MI
2040070 01 PK
institution
Provider Business Practice Location Address Details
Address
7966 Lovers Ln
City
Portage
State
Michigan
Zip
49002-4446
Phone Number
269-327-0033
Fax Number
269-327-2709
person
Provider Business Mailing Address Details
Address
7966 Lovers Ln
City
Portage
State
Michigan
Zip
49002-4446
Phone Number
269-327-0033
Fax Number
269-327-2709
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
1994-43 (Wisconsin)
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.
NP000798 (Pennsylvania)
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.
5301002930 (Michigan)
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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