NPI 1912255274 · live from the CMS NPI Registry
Concierge Compounding Pharmaceuticals, INC
Pharmacy, Compounding Pharmacy in Henderson, NV. National Provider Identifier 1912255274, active.
NPI record
| NPI | 1912255274 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 1887 Whitney Mesa Dr, Henderson, NV 89014 |
| Practice phone | 888-367-3092 |
| Enumerated | August 16, 2012 |
| Last updated | August 16, 2012 |
| Authorized official | Hootan Melamed, Pic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | PH02853 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.