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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEDFORD COMPOUNDING & SPECIALTY PHARMACY LLC

Active Organization

MEDFORD COMPOUNDING & SPECIALTY PHARMACY LLC is a Clinic Pharmacy organization located in MEDFORD, New York. NPI 1669721239 is currently active in the NPPES registry. Verify at CMS.

Clinic Pharmacy · MEDFORD, NY

Registration Details

NPI Number
1669721239
Provider Type
Organization
NPI Issued
Aug 29, 2012 (13.969061197484 yrs)
Last Updated
Apr 4, 2017
License
031387 (NY)

Practice Information

Address
2612 ROUTE 112
MEDFORD, NY, 117632522
Browse NY providers · Browse ZIP 11763
Phone
6316931403
Fax
6316541508
Primary Specialty
Clinic Pharmacy
3336C0004X
Additional Specialty
Clinic Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.