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PHARMACY COMPOUNDING VENTURES NPI 1942343397


NPI Information

NPI: 1942343397
Provider Name: PHARMACY COMPOUNDING VENTURES

Doing Business As: CUSTOM COMPOUNDING CENTER OF ARKANSAS

Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 04D2146478

Address:
11700 KANIS RD
SUITE1
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 217-0000
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PHARMACY COMPOUNDING VENTURES is a pharmacist in Little Rock, AR. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. PHARMACY COMPOUNDING VENTURES NPI is 1942343397. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Custom Compounding Center Of Arkansas.

The provider's business location address is:

11700 KANIS RD
SUITE1
LITTLE ROCK, AR
ZIP 72211-729
Phone: (501) 217-0000

The provider's authorized official is Mark Wayne Shinabery .
The authorized official title is Manager.owner and has the following contact phone number (501) 217-0000.

The CLIA number assigned to this NPI record is 04D2146478 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 1/30/2013.


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
1183500000XPharmacistAR7501ARKANSASYes

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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