National Provider Identifier Database

KEY COMPOUNDING PHARMACY
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.


Contact Information

KEY COMPOUNDING PHARMACY
912 NORTH WESTWOOD BLVD
POPLAR BLUFF, MO63901
Phone: 573-785-8219
Fax: 573-785-8125
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X

* Indicates primary specialty

NPI Profile & details for KEY COMPOUNDING PHARMACY

NPI Number 1083838452
Legal business name
LBN
KEY COMPOUNDING PHARMACY
Authorized official MARTIN MICHEL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/13/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 2004027988

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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