INDIGO PHARMACEUTICAL LLC NPI 1235851494

NPI Information

  • NPI: 1235851494
  • Provider Name: INDIGO PHARMACEUTICAL LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Address: 270 S MARTIN LUTHER KING BLVD
    LAS VEGAS, NV
    ZIP 89106
  • Phone: (954) 557-0061

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NPI Details

INDIGO PHARMACEUTICAL LLC is a compounding pharmacy pharmacy in Las Vegas, NV. 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. INDIGO PHARMACEUTICAL LLC NPI is 1235851494. The provider is registered as an organization entity type.

The provider's business location address is:

270 S MARTIN LUTHER KING BLVD
LAS VEGAS, NV
ZIP 89106-305
Phone: (954) 557-0061

The provider's authorized official is Eric Sparks .
The authorized official title is Pharmacy Manager and has the following contact phone number (702) 427-0707.

The enumeration date for this NPI number is 9/14/2022 and was last updated on 9/14/2022.

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: 3/30/2025

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