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E & T PHARMACY LLC NPI 1932298619


NPI Information

NPI: 1932298619
Provider Name: E & T PHARMACY LLC

Doing Business As: COASTAL COMPOUNDING PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
3111 45TH ST STE 3
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 683-1095
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E & T PHARMACY LLC is a compounding pharmacy pharmacy in West Palm Beach, FL. 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. E & T PHARMACY LLC NPI is 1932298619. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Compounding Pharmacy.

The provider's business location address is:

3111 45TH ST STE 3
WEST PALM BEACH, FL
ZIP 33407-981
Phone: (561) 683-1095
Fax: (561) 683-0591

The provider's authorized official is Ephrem Degefu .
The authorized official title is Phcy Manager and has the following contact phone number (561) 683-1095.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/20/2016.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyPH22257FLORIDAYes

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
12007665OTHERPK

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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