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PHARMAGEN LABORATORIES NPI 1477574424


NPI Information

NPI: 1477574424
Provider Name: PHARMAGEN LABORATORIES

Former Legal Business Name: BRYCE LABORATORIES

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
30 BUXTON FARMS ROAD
SUITE 110
STAMFORD, CT
ZIP 06905
Phone: (203) 359-6323
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PHARMAGEN LABORATORIES is a compounding pharmacy pharmacy in Stamford, CT. The provider is 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. PHARMAGEN LABORATORIES NPI is 1477574424. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Bryce Laboratories.

The provider's business location address is:

30 BUXTON FARMS ROAD
SUITE 110
STAMFORD, CT
ZIP 06905
Phone: (203) 359-6323
Fax: (203) 359-6448

The provider's authorized official is Justin Barch .
The authorized official title is Senior Vice President and has the following contact phone number (301) 455-0207.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 4/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyPCY0001773CONNECTICUTNo
23336C0004XPharmacyCompounding PharmacyPCY.0001773CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10719130OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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