VILLAGE LANE APOTHECARY


Address: 60 Village Ln, Suite 130, Colleyville, TX 76034
Phone: 8177172000

VILLAGE LANE APOTHECARY (NPI# 1700255486) 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) 1700255486
Entity Type Organization
Organization Name VILLAGE LANE APOTHECARY
Practice Address 60 Village Ln
Suite 130
Colleyville
TX 76034
Mailing Address 60 Village Ln
Colleyville
TX 76034
Practice Telephone 8177172000
Practice Fax Number 8177178424
Mailing Telephone 8177172000
Mailing Fax Number 8177178424
Enumeration Date 2015-09-23
Last Update Date 2015-09-23
Authorized Official Name LESLI DRU HOLT (PIC)
Authorized Official Telephone 8177172000
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
Suppliers

Office Location

Street Address 60 VILLAGE LN
SUITE 130
City COLLEYVILLE
State TX
Zip Code 76034

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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]

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NPI Name Taxonomy Address Enumeration
1457609752 Palace Pharmacy LLC Pharmacy 5200 Colleyville Blvd Ste C, Colleyville, TX 76034-5828 2012-08-17

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Competitor

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City COLLEYVILLE
Zip Code 76034

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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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