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BIG PARK PHARMACY LLC NPI 1578806394


NPI Information

NPI: 1578806394
Provider Name: BIG PARK PHARMACY LLC

Doing Business As: PRESCOTT COMPOUNDING PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1000 AINSWORTH DRIVE
SUITE B-105
PRESCOTT, AZ
ZIP 86305
Phone: (928) 515-2354
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BIG PARK PHARMACY LLC is a compounding pharmacy pharmacy in Prescott, 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. BIG PARK PHARMACY LLC NPI is 1578806394. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Compounding Pharmacy.

The provider's business location address is:

1000 AINSWORTH DRIVE
SUITE B-105
PRESCOTT, AZ
ZIP 86305
Phone: (928) 515-2354
Fax: (928) 515-2356

The provider's authorized official is Gregg A Huser .
The authorized official title is Pharmacist and has the following contact phone number (928) 515-2354.

The enumeration date for this NPI number is 3/29/2013 and was last updated on 8/21/2019.


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 Pharmacy5550ARIZONAYes

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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