ABL CUSTOM COMPOUNDING


Address: 34 E 4th St, Emporium, PA 15834-1412
Phone: 8144862326

ABL CUSTOM COMPOUNDING (NPI# 1558498634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558498634
Entity Type Organization
Organization Name ABL CUSTOM COMPOUNDING
Other Organization Name ABL CUSTOM COMPOUNDING
Practice Address 34 E 4th St
Emporium
PA 15834-1412
Mailing Address Po Box 384
Emporium
PA 15834-0384
Practice Telephone 8144862326
Practice Fax Number 8144861065
Mailing Telephone 8144862326
Mailing Fax Number 8144861065
Enumeration Date 2007-02-27
Last Update Date 2014-11-04
Authorized Official Name BLAIR LUNDBERG (OWNER)
Authorized Official Telephone 8144862326
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
PP481743 PA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2082235 01

Other Provider/Organization Names

Other Name Type Code
ABL CUSTOM COMPOUNDING Doing Business As Name - Organization

Office Location

Street Address 34 E 4TH ST
City EMPORIUM
State PA
Zip Code 15834-1412

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396940771 Donna Mckimm Registered Nurse 3225 Rich Valley Rd, Emporium, PA 15834 2007-06-18
1346207925 A Blair Lundberg Pharmacist 34 East 4th St, Emporium, PA 15834 2006-04-27
1225487895 Robin Hammersley Nurse Practitioner 416 N Broad St, Emporium, PA 15834 2016-06-06
1740334549 Joel & June Caldwell Inc Durable Medical Equipment & Medical Supplies 105 4th St, Emporium, PA 15834 2007-01-22
1518167584 Charles A. Blumle D.d.s., P.C. Dentist 404 N Maple St, Emporium, PA 15834-1225 2007-07-18
1669634572 Charles A Blumle Dentist 404 N Maple St, Emporium, PA 15834-1225 2008-07-01
1710975768 Jodi Rae Regulski Physician Assistant 90 E 2nd St, Emporium, PA 15834-1302 2005-10-12
1174173595 Renee Mostyn Dental Hygienist 90 E 2nd St, Emporium, PA 15834-1302 2019-09-17
1285150227 Savanah Marie Krivonyak Dental Hygienist 90 E 2nd St, Emporium, PA 15834-1302 2017-08-22
1215451927 Kane Dental Center Dentist 90 E 2nd St, Emporium, PA 15834-1302 2017-08-03
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760851265 Bdrx LLC Pharmacy 1 N West End Blvd, Quakertown, PA 18951-1133 2015-09-15
1801208491 Reliant Care Solutions Lp Pharmacy 403 S Oxford Valley Rd Ste 2, Fairless Hills, PA 19030-4202 2014-05-30
1083026199 Rabskvi Health Inc Pharmacy 1571 Manheim Pike, Lancaster, PA 17601-3071 2014-05-22
1871914473 Specialty Pharmacy Services LLC Pharmacy 445 W Main St Ste 7, Mount Pleasant, PA 15666-1533 2013-12-27
1841629433 Insight Pharmaceutical LLC Pharmacy 700 E Township Line Rd # Ll2b, Havertown, PA 19083-5733 2013-11-05
1477980324 Darshan Bapa Inc Pharmacy 8275 Bustleton Ave, Philadelphia, PA 19152-2425 2013-10-07
1619212032 Fishtown Pharmacy LLC Pharmacy 1802 Frankford Ave, Philadelphia, PA 19125-2403 2012-12-11
1669717369 Apothecary of Harleysville Pharmacy 345 Main St Ste 7, Harleysville, PA 19438-2420 2012-12-06
1497017461 Innovative Pharmacy LLC Pharmacy 2014 Ford Rd Ste B, Bristol, PA 19007-6743 2012-06-14
1720345309 Blue Mountain Compounding LLC Pharmacy 2453 Plaza Ct, Ste B, Bath, PA 18014-8762 2012-04-19
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Competitor

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City EMPORIUM
Zip Code 15834

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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