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ELEMENTS COMPOUNDING PHARMACY LLC NPI 1194135103


NPI Information

NPI: 1194135103
Provider Name: ELEMENTS COMPOUNDING PHARMACY LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2110 E BASELINE RD
SUITE A5-6
MESA, AZ
ZIP 85204
Phone: (480) 625-4750
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ELEMENTS COMPOUNDING PHARMACY LLC is a community/retail pharmacy pharmacy in Mesa, AZ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ELEMENTS COMPOUNDING PHARMACY LLC NPI is 1194135103. The provider is registered as an organization entity type.

The provider's business location address is:

2110 E BASELINE RD
SUITE A5-6
MESA, AZ
ZIP 85204-970
Phone: (480) 625-4750

The provider's authorized official is Peter Petrov .
The authorized official title is President and has the following contact phone number (480) 625-4750.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 8/21/2014.


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
13336C0004XPharmacyCompounding PharmacyY005900ARIZONANo
23336C0003XPharmacyCommunity/Retail PharmacyY005900ARIZONAYes

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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