CREATIVE COMPOUNDING CENTER, INC.


Address: 631 N Van Dyke Rd, Imlay City, MI 48444-1181
Phone: 8107243301

CREATIVE COMPOUNDING CENTER, INC. (NPI# 1073981957) 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) 1073981957
Entity Type Organization
Organization Name CREATIVE COMPOUNDING CENTER, INC.
Practice Address 631 N Van Dyke Rd
Imlay City
MI 48444-1181
Practice Telephone 8107243301
Practice Fax Number 8107243303
Mailing Telephone 8107243301
Mailing Fax Number 8107243303
Enumeration Date 2015-09-09
Last Update Date 2015-09-09
Authorized Official Name MS. CHERYL LYNN DUFRESNE (PRESIDENT)
Authorized Official Telephone 8107243301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
L222954 MI Suppliers

Office Location

Street Address 631 N VAN DYKE RD
City IMLAY CITY
State MI
Zip Code 48444-1181

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699244467 Mark A. Lamb Dds PC Dentist 250 East Capac Rd, Imlay City, MI 48444 2018-11-21
1245771716 Hannah Kay King Behavior Technician 8570 E Imlay City Rd., Imlay City, MI 48444 2017-03-16
1881729390 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 1813 South Van Dyke, Imlay City, MI 48444 2007-02-23
1194861310 Daniel Jack Adams Optometrist 1813 S Van Dyke, Imlay City, MI 48444 2007-01-29
1255407243 Michael Robert Warnars Chiropractor 125 E Capac Rd, Imlay City, MI 48444 2006-11-28
1477659761 Laraine Kay Brower Dental Hygienist 124 N Saginaw Suite C, Holly, MI 48444 2006-09-15
1043278666 Laura A Ellis Physical Therapist 1769 S Cedar, Imlay City, MI 48444 2006-05-03
1417920885 Dobert LLC Durable Medical Equipment & Medical Supplies 325 E Capac Road, Imlay City, MI 48444 2006-02-08
1932185899 David Andrew Noffert Dentist 6800 Newark Rd, #300, Imlay City, MI 48444 2005-12-21
1629537261 Carolyn Eckhout Pharmacist 6672 Newark Rd, Imlay City, MI 48444 2019-03-13
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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
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1043859457 Midwest Compounding LLC Pharmacy 25306 W Warren St, Dearborn Heights, MI 48127-2102 2020-01-02
1114570504 Advance Care Rx Pharmacy Pharmacy 12097 Conant St, Hamtramck, MI 48212-2716 2019-07-24
1811550536 Good Med Pharmacy, LLC Pharmacy 2900 Golfside Dr Ste 3, Ann Arbor, MI 48108-1410 2019-04-18
1457815151 Apothecary & Co LLC Pharmacy 51 S Washington St Ste D, Oxford, MI 48371-6418 2019-01-27
1306340955 Prestige Specialty Pharmacy LLC Pharmacy 3739 15 Mile Rd, Sterling Heights, MI 48310 2018-03-20
1588010334 Select Care Pharmacy LLC Pharmacy 28003 John R Rd, Madison Heights, MI 48071-2809 2016-05-11
1669843488 Discount Drugs LLC Pharmacy 19145 Allen Rd Ste 105, Brownstown Twp, MI 48183-6812 2015-10-20
1780078428 Carewell Pharmacy LLC Pharmacy 41940 Hayes Rd, Clinton Township, MI 48038-5841 2015-03-19
1255739280 I Pharmacy 2 LLC Pharmacy 31193 Plymouth Rd, Livonia, MI 48150-2103 2014-12-08
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Competitor

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City IMLAY CITY
Zip Code 48444

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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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