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General NPI Number Information
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NPI Number | 1144588278
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Entity Type | Organization
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Legal Business Name | INFINITY COMPOUNDING SOLUTIONS LLC
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1204 SE 28TH ST STE 2
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City | BENTONVILLE
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State | AR
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Zip | 72712-3887
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Country | US
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Telephone | 479-250-1443
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Fax | 479-268-3478
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Provider Business Mailing Address
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Address Line | PO BOX 699
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City | BENTONVILLE
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State | AR
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Zip | 72712-0699
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Country | US
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Telephone | 479-250-1443
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Fax | 479-268-3478
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Authorized Official
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Title or Position | CFO
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Name | TALMAGE JEREMY WHITEHEAD
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Credential |
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Telephone | 870-347-2534
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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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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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