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PURE COMPOUNDING NPI 1003003823


NPI Profile

NPI: 1003003823
Provider Name: PURE COMPOUNDING

Doing Business As: PURE COMPOUNDING

Classification:Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
3072 DICK POND RD
STE 2
MYRTLE BEACH, SC
ZIP 29588
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Phone: (843) 293-7979

PURE COMPOUNDING is a compounding pharmacy pharmacy in Myrtle Beach, SC. 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. PURE COMPOUNDING NPI is 1003003823. The provider is registered as an organization entity type.
The provider Is Doing Business As Pure Compounding.

The provider's business location address is:

3072 DICK POND RD
STE 2
MYRTLE BEACH, SC
ZIP 29588-954
Phone: (843) 293-7979
Fax: (843) 293-6499

The provider's authorized official is Melissa Lee .
The authorized official title is Owner and has the following contact phone number (843) 651-7979.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 4/19/2016.


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
13336S0011XPharmacySpecialty PharmacyNo
23336C0004XPharmacyCompounding Pharmacy9639SOUTH CAROLINAYes

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
12093410OTHERPK

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: 5/9/2021

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