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General NPI Number Information
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NPI Number | 1851295646
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Entity Type | Organization
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Legal Business Name | PUREHEALTH COMPOUNDING LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 343 GODSHALL DR
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2007
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Country | US
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Telephone | 833-990-7873
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Fax | 267-212-1031
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Provider Business Mailing Address
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Address Line | 343 GODSHALL DR
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2007
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Country | US
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Telephone | 833-990-7873
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Fax | 267-212-1031
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Authorized Official
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Title or Position | OWNER/PIC
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Name | DANIEL NAGRUDNY
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Credential | PHARMD
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Telephone | 215-917-2969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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