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LONE OAK COMPOUNDING SHOPPE NPI 1588737241


NPI Information

NPI: 1588737241
Provider Name: LONE OAK COMPOUNDING SHOPPE
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

CLIA Number: 18D0990358

Address:
3535 LONE OAK RD
PADUCAH, KY
ZIP 42003
Phone: (270) 554-7944
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LONE OAK COMPOUNDING SHOPPE is a compounding pharmacy pharmacy in Paducah, KY. 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. LONE OAK COMPOUNDING SHOPPE NPI is 1588737241. The provider is registered as an organization entity type.

The provider's business location address is:

3535 LONE OAK RD
PADUCAH, KY
ZIP 42003-701
Phone: (270) 554-7944
Fax: (270) 554-4006

The provider's authorized official is Michelle R Lowe .
The authorized official title is Owner and has the following contact phone number (270) 554-7944.

The CLIA number assigned to this NPI record is 18D0990358 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyP06669KENTUCKYYes

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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