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General NPI Number Information
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NPI Number | 1134033103
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION COMPOUNDING LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 1145 RESERVOIR AVE STE 116
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City | CRANSTON
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State | RI
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Zip | 02920-6000
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Country | US
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Telephone | 401-429-0330
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Fax | 401-429-0333
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Provider Business Mailing Address
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Address Line | 1145 RESERVOIR AVE STE 116
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City | CRANSTON
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State | RI
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Zip | 02920-6000
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Country | US
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Telephone | 401-429-0330
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Fax | 401-429-0333
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH MARY DELVECCHIO DOIDGE
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Credential | PHARMD, BCPS
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Telephone | 401-374-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | NULL
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