A licensed pharmacist who has demonstrated specialized knowledge and skill to ensure that sterile preparations meet the clinical needs of patients, satisfying quality, safety, and environmental control requirements, regulations, and standards in all phases of preparation, storage, transportation, and administration.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Compounded Sterile Preparations | 1835C0207X |
| Pharmacist | 183500000X |
* Indicates primary specialty
| NPI Number | 1346975760 |
| Credentials | PHARM.D. (Doctor of Pharmacy) |
| Entity | Individual |
| Enumeration date | 07/20/2022 |
| Last updated | 03/28/2025 - More than a year ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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