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General NPI Number Information
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NPI Number | 1033089909
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Entity Type | Organization
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Legal Business Name | OMNISCRIPT COMPOUNDING LLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 4045 E BELL RD STE 163
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City | PHOENIX
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State | AZ
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Zip | 85032-2240
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Country | US
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Telephone | 602-971-6950
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Fax | 602-404-2504
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Provider Business Mailing Address
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Address Line | 4045 E BELL RD STE 163
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City | PHOENIX
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State | AZ
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Zip | 85032-2240
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Country | US
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Telephone | 602-971-6950
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Fax | 602-404-2504
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. KRISTINE LOWE
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Credential | PHARMD
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Telephone | 602-971-6950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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