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PROPHARM RX INC NPI 1306102728


NPI Information

NPI: 1306102728
Provider Name: PROPHARM RX INC

Doing Business As: PROPHARM RX INC

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
115 S MACOUPIN ST
GILLESPIE, IL
ZIP 62033
Phone: (217) 839-3233
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PROPHARM RX INC is a compounding pharmacy pharmacy in Gillespie, IL. 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. PROPHARM RX INC NPI is 1306102728. The provider is registered as an organization entity type.
The provider Is Doing Business As Propharm Rx Inc.

The provider's business location address is:

115 S MACOUPIN ST
GILLESPIE, IL
ZIP 62033-516
Phone: (217) 839-3233
Fax: (217) 839-3233

The provider's authorized official is Maurice Sullivan .
The authorized official title is Sec/tres and has the following contact phone number (217) 839-2909.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 4/11/2012.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11486617OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 5/5/2024

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