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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1770010068 |
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| LBN Legal business name | ONESOURCE COMPOUNDING PHARMACY | ||||
| Authorized official | SESYLIA ASTOR - (PHARMACIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/17/2017 | ||||
| Last updated | 03/05/2021 - About 5 years ago | ||||
| Identifiers |
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ONESOURCE COMPOUNDING PHARMACY
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ONESOURCE COMPOUNDING PHARMACY