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APOTEKA COMPOUNDING LLC NPI 1194736777


NPI Information

NPI: 1194736777
Provider Name: APOTEKA COMPOUNDING LLC

Doing Business As: COMMUNITY CLINICAL PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
2045 S VINEYARD STE 133
MESA, AZ
ZIP 85210
Phone: (480) 969-0600
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APOTEKA COMPOUNDING LLC is a compounding pharmacy pharmacy in Mesa, AZ. 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. APOTEKA COMPOUNDING LLC NPI is 1194736777. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Clinical Pharmacy.

The provider's business location address is:

2045 S VINEYARD STE 133
MESA, AZ
ZIP 85210-893
Phone: (480) 969-0600
Fax: (480) 969-0712

The provider's authorized official is Kristian Kaniski .
The authorized official title is Managing Member and has the following contact phone number (480) 969-0600.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 2/10/2022.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336C0004XPharmacyCompounding PharmacyY03824ARIZONAYes

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
1837734MEDICAIDARIZONA
21991673OTHERPK

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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