Equinox Compounding Pharmacy

LBN: Equinox Compounding Pharmacy
Equinox Compounding Pharmacy is an health care organization with primary practice located at 34B Ways Ln , Manchester Center VT 05255-9231. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Equinox Compounding Pharmacy can be contacted via phone (802) 367-1096, or through O Neill, Philip via phone (802) 442-5602.

Contact Information

Primary practice address
34B Ways Ln Manchester Center VT 05255-9231
Phone: (802) 367-1096
Fax: (802) 367-1098
Website:
Map and Directions
Authorized official contact:
Name: O Neill, Philip
Phone: (802) 442-5602

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 0380003389 Vermont

Profile Details

NPI number 1497939110
LBN Legal business name Equinox Compounding Pharmacy
DBA Doing business as Equinox Compounding Pharmacy
Authorized official O Neill, Philip
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2007
Last updated Nov 21st, 2014 - about 10 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 1497939110 NPPES
Vermont MEDICAID 1014827
Vermont Other 2101743

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