PURE PATH COMPOUNDING PHARMACY LLC

Compounding Pharmacy

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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Contact Information

PURE PATH COMPOUNDING PHARMACY LLC

2141 W AIRPORT WAY STE 700
BOISE, ID 83705-5168

Phone: 208-985-3575
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Home Infusion Therapy Pharmacy	3336H0001X	58	Medical Supply Company with Pharmacist
Mail Order Pharmacy	3336M0002X	58	Medical Supply Company with Pharmacist
Specialty Pharmacy	3336S0011X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for PURE PATH COMPOUNDING PHARMACY LLC

NPI Number	`1033917810`
LBN Legal business name	PURE PATH COMPOUNDING PHARMACY LLC
Authorized official	KEVIN CRUMLEY - (OPERATIONS MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/06/2025
Last updated	03/24/2025 - More than a year ago
Identifiers	n/a

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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PURE PATH COMPOUNDING PHARMACY LLC

Contact Information

Specialty

Compounding Pharmacy

Home Infusion Therapy Pharmacy

Mail Order Pharmacy

Specialty Pharmacy

NPI Profile & details for PURE PATH COMPOUNDING PHARMACY LLC

Reviews for PURE PATH COMPOUNDING PHARMACY LLC