Cleveland Compounding Inc

LBN: Cleveland Compounding Inc
Cleveland Compounding Inc is an health care organization with primary practice located at 701 2 East Grover St , Shelby NC 28150. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cleveland Compounding Inc can be contacted via phone (704) 487-1971, or through Harden, Gary via phone (704) 487-1971.

Contact Information

Primary practice address
701 2 East Grover St Shelby NC 28150
Phone: (704) 487-1971
Fax: (704) 487-1971
Website:
Map and Directions
Authorized official contact:
Name: Harden, Gary RPH
Phone: (704) 487-1971

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 10058 North Carolina
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1174784292
LBN Legal business name Cleveland Compounding Inc
DBA Doing business as Cleveland Compounding Inc
Authorized official Harden, Gary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2008
Last updated Dec 31st, 2012 - about 13 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 1174784292 NPPES
Other 3411092 NCPDP PROVIDER IDENTIFICATION NUMBER

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