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NEW LEAF SPECIALTY PHARMACY NPI 1790229029


NPI Information

NPI: 1790229029
Provider Name: NEW LEAF SPECIALTY PHARMACY

Doing Business As: NEW LEAF SPECIALTY PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
3930 WESTOWN PKWY
SUITE B
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 446-9933
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NEW LEAF SPECIALTY PHARMACY is a compounding pharmacy pharmacy in West Des Moines, IA. 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. NEW LEAF SPECIALTY PHARMACY NPI is 1790229029. The provider is registered as an organization entity type.
The provider Is Doing Business As New Leaf Specialty Pharmacy.

The provider's business location address is:

3930 WESTOWN PKWY
SUITE B
WEST DES MOINES, IA
ZIP 50266-032
Phone: (515) 446-9933
Fax: (515) 446-9917

The provider's authorized official is Arthur Mattson .
The authorized official title is Member Ceo and has the following contact phone number (931) 252-2932.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 7/27/2018.


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
1333600000XPharmacy99-7975OKLAHOMANo
23336C0003XPharmacyCommunity/Retail Pharmacy6212TENNESSEENo
33336C0004XPharmacyCompounding Pharmacy1590IOWAYes

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
12166603OTHERPK

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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