Vintage Compounding Pharmacy Llc

LBN: Vintage Compounding Pharmacy Llc
Vintage Compounding Pharmacy Llc is an health care organization with primary practice located at 9821 Montgomery Blvd Ne Ste A , Albuquerque NM 87111-3571. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Vintage Compounding Pharmacy Llc can be contacted via phone (505) 620-4352, or through Zamanian, Mohammad via phone (505) 620-4352.

Contact Information

Primary practice address
9821 Montgomery Blvd Ne Ste A Albuquerque NM 87111-3571
Phone: (505) 620-4352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zamanian, Mohammad
Phone: (505) 620-4352

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1457030900
LBN Legal business name Vintage Compounding Pharmacy Llc
DBA Doing business as
Authorized official Zamanian, Mohammad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2023
Last updated Jul 20th, 2023 - about last year

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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