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CROSS TIMBERS COMPOUNDING LLC NPI 1023499985


NPI Information

NPI: 1023499985
Provider Name: CROSS TIMBERS COMPOUNDING LLC

Doing Business As: CUSTOM COMPOUNDING PHARMACY LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1880 SANTA FE DRIVE SUITE 200
WEATHERFORD, TX
ZIP 76086
Phone: (817) 550-6044
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CROSS TIMBERS COMPOUNDING LLC is a pharmacy in Weatherford, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CROSS TIMBERS COMPOUNDING LLC NPI is 1023499985. The provider is registered as an organization entity type.
The provider Is Doing Business As Custom Compounding Pharmacy Llc.

The provider's business location address is:

1880 SANTA FE DRIVE SUITE 200
WEATHERFORD, TX
ZIP 76086-482
Phone: (817) 550-6044
Fax: (682) 262-1365

The provider's authorized official is Charles Buchanan .
The authorized official title is Officer and has the following contact phone number (817) 550-6044.

The enumeration date for this NPI number is 6/16/2015 and was last updated on 3/30/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
2333600000XPharmacy30028TEXASYes

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: 5/5/2024

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.