Southeastern Medical Compounding Llc, NPI 1467783209
Compounding Pharmacy in Savannah, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1467783209 |
| NPI Entity Type | Organization |
| Provider Name |
Southeastern Medical Compounding Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 709 Mall Blvd Rm 356b, Savannah, GA, US |
| Provider Mailing Address | 7370 Hodgson Memorial Dr # C5-b, Savannah, GA, US, 314062536 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | John Kennedy |
| Official Position | VICE PRESIDENT |
| Phone | 912-201-8138 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Compounding Pharmacy |
| Classification | |
| Group | |
| License No. | 114078 |
| License State | AL |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| PHRE009607 | GA | No | |||
| 2013005924 | MO | No | |||
| 5301009997 | MI | No | |||
| 264044 | MN | No | |||
| 27038 | TX | No | |||
| Y006009 | AZ | No | |||
| PH25026 | FL | No | |||
| 022297550 | OH | No |
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