Healthcare Provider Details

I. General information

NPI: 1851295646
Provider Name (Legal Business Name): PUREHEALTH COMPOUNDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 GODSHALL DR
HARLEYSVILLE PA
19438-2007
US

IV. Provider business mailing address

343 GODSHALL DR
HARLEYSVILLE PA
19438-2007
US

V. Phone/Fax

Practice location:
  • Phone: 833-990-7873
  • Fax: 267-212-1031
Mailing address:
  • Phone: 833-990-7873
  • Fax: 267-212-1031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANIEL NAGRUDNY
Title or Position: OWNER/PIC
Credential: PHARMD
Phone: 215-917-2969