Abl Custom Compounding

LBN: Abl Custom Compounding
Abl Custom Compounding is an health care organization with primary practice located at 34 E 4Th St , Emporium PA 15834-1412. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Abl Custom Compounding can be contacted via phone (814) 486-2326, or through Lundberg, Blair via phone (814) 486-2326.

Contact Information

Primary practice address
34 E 4Th St Emporium PA 15834-1412
Fax: (814) 486-1065
Website:
Authorized official contact:
Name: Lundberg, Blair RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PP481743 Pennsylvania

Profile Details

NPI number 1558498634
LBN Legal business name Abl Custom Compounding
DBA Doing business as Abl Custom Compounding
Authorized official Lundberg, Blair RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Nov 4th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558498634 NPPES
Other 2082235 PK

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