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MIXPILL COMPOUNDING PHARMACY NPI 1457009979


NPI Information

NPI: 1457009979
Provider Name: MIXPILL COMPOUNDING PHARMACY
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

CLIA Number: 36D2288408

Address:
245 N MAIN ST STE 400
SPRINGBORO, OH
ZIP 45066
Phone: (937) 806-3102
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MIXPILL COMPOUNDING PHARMACY is a compounding pharmacy pharmacy in Springboro, OH. 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. MIXPILL COMPOUNDING PHARMACY NPI is 1457009979. The provider is registered as an organization entity type.

The provider's business location address is:

245 N MAIN ST STE 400
SPRINGBORO, OH
ZIP 45066-172
Phone: (937) 806-3102
Fax: (937) 550-4415

The provider's authorized official is Amanda Maxam .
The authorized official title is Co-owner/pharmacist and has the following contact phone number (513) 218-4891.

The CLIA number assigned to this NPI record is 36D2288408 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2022 and was last updated on 4/14/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyYes

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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