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Contact Information

INNOVATIVE COMPOUNDING
941 CENTER CREST DR
SUITE D
WHITSETT, NC27377
 Phone: 336-447-4803
 Fax: 336-447-4805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for INNOVATIVE COMPOUNDING

NPI Number 1629370481
LBN Legal business name INNOVATIVE COMPOUNDING
Authorized official SHARON WILSON - (PHARMACY MANAGER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2010
Last updated 11/30/2010 - About 16 years ago
Identifiers
NC License # 10636
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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