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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 Number | 1902509821 |
| LBN Legal business name | IMPACT COMPOUNDING LLC |
| Authorized official | DAWN TRAME - (PHARMACIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/22/2023 |
| Last updated | 06/01/2023 - About 3 years ago |
| Identifiers | n/a |
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IMPACT COMPOUNDING LLC