PRESTIGE WORLDWIDE PHARMA LLC NPI 1811727159

NPI Information

  • NPI: 1811727159
  • Provider Name: PRESTIGE WORLDWIDE PHARMA LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Address: 1430 S MAIN ST STE 105
    BOERNE, TX
    ZIP 78006
  • Phone: (830) 224-0090

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NPI Details

PRESTIGE WORLDWIDE PHARMA LLC is a compounding pharmacy pharmacy in Boerne, TX. 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. PRESTIGE WORLDWIDE PHARMA LLC NPI is 1811727159. The provider is registered as an organization entity type.

The provider's business location address is:

1430 S MAIN ST STE 105
BOERNE, TX
ZIP 78006-334
Phone: (830) 224-0090
Fax: (830) 224-0095

The provider's authorized official is Dudley Iles Klatt .
The authorized official title is Officer and has the following contact phone number (361) 227-0412.

The enumeration date for this NPI number is 8/2/2024 and was last updated on 8/2/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding 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: 11/21/2025

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