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VILLAGE LANE APOTHECARY NPI 1700255486


NPI Information

NPI: 1700255486
Provider Name: VILLAGE LANE APOTHECARY
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
60 VILLAGE LN
SUITE 130
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 717-2000
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VILLAGE LANE APOTHECARY is a compounding pharmacy pharmacy in Colleyville, 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. VILLAGE LANE APOTHECARY NPI is 1700255486. The provider is registered as an organization entity type.

The provider's business location address is:

60 VILLAGE LN
SUITE 130
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 717-2000
Fax: (817) 717-8424

The provider's authorized official is Lesli Dru Holt .
The authorized official title is Pic and has the following contact phone number (817) 717-2000.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 9/23/2015.


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: 5/5/2024

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