The Compounding Lab/Independent Rx Pharmacy
LBN: Clarks Rx Llc
The Compounding Lab/Independent Rx Pharmacy is an health care organization with primary practice located at 7415 Old Troy Pike , Huber Heights OH 45424-2662. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Clarks Rx Llc can be contacted via phone (937) 723-2880, or through Clark, Tim via phone (937) 723-2880.
Contact Information
Primary practice address
7415 Old Troy Pike
Huber Heights OH 45424-2662
Phone: (937) 723-2880
Fax: (937) 723-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 021231250 | Ohio |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1184723652 |
|---|---|
| LBN Legal business name | Clarks Rx Llc |
| DBA Doing business as | The Compounding Lab/Independent Rx Pharmacy |
| Authorized official | Clark, Tim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Nov 16th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184723652 | NPPES |
| Other | 2073191 | PK | |
| MEDICAID | 2238859 | PK |
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