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PHARMAPRODIA LLC NPI 1689163925


NPI Information

NPI: 1689163925
Provider Name: PHARMAPRODIA LLC

: PHARMAPRODIA COMPOUNDING PHARMACY GROUP

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
15331 W BELL RD STE 122
SURPRISE, AZ
ZIP 85374
Phone: (623) 404-1000
Get Directions

PHARMAPRODIA LLC is a compounding pharmacy pharmacy in Surprise, AZ. 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. PHARMAPRODIA LLC NPI is 1689163925. The provider is registered as an organization entity type.
The provider Pharmaprodia Compounding Pharmacy Group.

The provider's business location address is:

15331 W BELL RD STE 122
SURPRISE, AZ
ZIP 85374-103
Phone: (623) 404-1000
Fax: (623) 256-6491

The provider's authorized official is Richard Nkwenti .
The authorized official title is Founder and has the following contact phone number (623) 432-5500.

The enumeration date for this NPI number is 5/2/2018 and was last updated on 5/4/2018.


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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyY007343ARIZONAYes

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
12177335OTHERPK

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: 4/28/2024

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