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THERACOMPRX LLC NPI 1598181000


NPI Information

NPI: 1598181000
Provider Name: THERACOMPRX LLC
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1414 ARLINGTON ST
STE 2200
ADA, OK
ZIP 74820
Phone: (580) 436-9922
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THERACOMPRX LLC is a compounding pharmacy pharmacy in Ada, OK. 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. THERACOMPRX LLC NPI is 1598181000. The provider is registered as an organization entity type.

The provider's business location address is:

1414 ARLINGTON ST
STE 2200
ADA, OK
ZIP 74820-646
Phone: (580) 436-9922
Fax: (580) 436-9919

The provider's authorized official is Kenneth Wayne Bailes .
The authorized official title is Pharmacist-in-charge/owner and has the following contact phone number (580) 759-6238.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 3/7/2014.


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 Pharmacy23-6620OKLAHOMAYes

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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