Southeastern Medical Compounding Llc, NPI 1467783209
Compounding Pharmacy in Savannah, GA, US

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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
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Organization Official

Official Name John Kennedy
Official Position VICE PRESIDENT
Phone 912-201-8138

Primary Taxonomy

Taxonomy Code

3336C0004X

Taxonomy Name Compounding Pharmacy
Classification

Pharmacy

Group

Suppliers

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.

Other Organization Name

Southeastern Medical Compounding LLC
Doing Business As

Business Address

Southeastern Medical Compounding Llc
709 Mall Blvd Rm 356b

Savannah, GA, US

Phone: 912-201-8138
Fax: 877-329-0079

Mailing Address

Southeastern Medical Compounding Llc
7370 Hodgson Memorial Dr # C5-b
Savannah, GA, US
ZIP 314062536
Phone: 912-401-3234
Fax: 877-329-0079

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0004X

Suppliers

Pharmacy

PHRE009607 GA No

3336C0004X

Suppliers

Pharmacy

2013005924 MO No

3336C0004X

Suppliers

Pharmacy

5301009997 MI No

3336C0004X

Suppliers

Pharmacy

264044 MN No

3336C0004X

Suppliers

Pharmacy

27038 TX No

3336C0003X

Suppliers

Pharmacy

Y006009 AZ No

3336C0004X

Suppliers

Pharmacy

PH25026 FL No

3336C0004X

Suppliers

Pharmacy

022297550 OH No

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6115 Peachtree Dunwoody Rd Ste 210

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