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 | |
|---|---|---|
| * | Compounding Pharmacy | 3336C0004X |
* Indicates primary specialty
| NPI Number | 1932323136 |
| Legal business name LBN |
EASTERN STATES COMPOUNDING PHARMACY, LLC |
| Authorized official | CLANCI GIDDINGS - (GENERAL MANAGER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 04/12/2007 |
| Last updated | 03/15/2022 - About 4 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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