American Custom Compounding Pharmacy

LBN: American Custom Compounding Pharmacy
American Custom Compounding Pharmacy is an health care organization with primary practice located at 2607 Walnut Hill Ln Suite 220, Dallas TX 75229-5638. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. American Custom Compounding Pharmacy can be contacted via phone (214) 366-0022, or through Gundelfinger, Matt via phone (214) 366-0022.

Contact Information

Primary practice address
2607 Walnut Hill Ln Suite 220 Dallas TX 75229-5638
Phone: (214) 366-0022
Fax: (214) 366-0298
Website:
Map and Directions
Authorized official contact:
Name: Gundelfinger, Matt
Phone: (214) 366-0022

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 27976 Texas

Profile Details

NPI number 1114266889
LBN Legal business name American Custom Compounding Pharmacy
DBA Doing business as
Authorized official Gundelfinger, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2013
Last updated Jan 31st, 2013 - about 12 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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