National Provider Identifier Database

MIX 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.


Contact Information

MIX PHARMACY, LLC
1266 HELMO AVE N
OAKDALE, MN55128
Phone: 651-645-9715
Fax: 651-925-8659
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X

* Indicates primary specialty

NPI Profile & details for MIX PHARMACY, LLC

NPI Number 1346383601
Legal business name
LBN
MIX PHARMACY, LLC
Authorized official ALANNA HUMPHREY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/15/2007
Last updated 07/05/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 265034

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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