ISOMERIC PHARMACY SOLUTIONS LLC (ISOMERIC PHARMACY SOLUTIONS) - NPI NUMBER 1821432626

Summary

Provider Name: ISOMERIC PHARMACY SOLUTIONS LLC (ISOMERIC PHARMACY SOLUTIONS)

NPI Number: 1821432626

Clasification: Pharmacy (3336C0004X)

Specialization: Compounding Pharmacy

Address:
510 S 600 E
SALT LAKE CITY, UT
ZIP 84102

Phone Number: (801) 433-2526



Detailed Information

ISOMERIC PHARMACY SOLUTIONS LLC is a compounding pharmacy pharmacy in Salt Lake City, UT. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner´┐Żs 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. The assigned NPI number for this provider is 1821432626 and is registered as an organization entity type.
The provider Is Doing Business As Isomeric Pharmacy Solutions.

The provider's business address is:

510 S 600 E
SALT LAKE CITY, UT
ZIP 84102-710
Phone: (801) 433-2526
Fax: (888) 453-3274

The provider's authorized official is Rachael Cruz .
The authorized official title is Manager and has the following contact phone number (970) 712-7787.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 3/5/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 3336C0004X Pharmacy Compounding Pharmacy No
2 333600000X Pharmacy No
3 3336C0003X Pharmacy Community/Retail Pharmacy 8915618-1703 UT Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 2140132 OTHER PK

NPI Record

No. Field Name Field Value
1 NPI 1821432626
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ISOMERIC PHARMACY SOLUTIONS LLC
5 Provider Other Organization Name ISOMERIC PHARMACY SOLUTIONS
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 510 S 600 E
8 Provider Business Practice Location Address City Name SALT LAKE CITY
9 Provider Business Practice Location Address State Name UT
10 Provider Business Practice Location Address Postal Code 841022710
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8014332526
13 Provider Business Practice Location Address Fax Number 8884533274
14 Provider Enumeration Date 4/23/2013
15 Last Update Date 3/5/2014
16 Authorized Official Last Name CRUZ
17 Authorized Official First Name RACHAEL
18 Authorized Official Title or Position MANAGER
19 Authorized Official Telephone Number 9707127787
20 Healthcare Provider Taxonomy Code 1 3336C0004X
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 333600000X
23 Healthcare Provider Primary Taxonomy Switch 2 N
24 Healthcare Provider Taxonomy Code 3 3336C0003X
25 Provider License Number 3 8915618-1703
26 Provider License Number State Code 3 UT
27 Healthcare Provider Primary Taxonomy Switch 3 Y
28 Other Provider Identifier 1 2140132
29 Other Provider Identifier Type Code 1 01
30 Other Provider Identifier Issuer 1 PK
31 Is Organization Subpart N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.