Creative Compounding Solutions LLC

Compounding Pharmacy · Fort Wayne, IN

Organization Active NPI

NPI number 1124170014

Practice location

2803 E State Blvd
Fort Wayne, IN 46805-4732
Phone
(260) 483-3169
Fax
(260) 483-3160

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NPI record

NPI
1124170014
Entity type
Organization (Type 2)
Enumeration date
January 18, 2007
Last updated
July 19, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Compounding Pharmacy Primary 3336C0004X 60002334A IN
Pharmacy 333600000X — —
Community/Retail Pharmacy 3336C0003X — —

Authorized official

Name
Andrew Campbell
Title
Owner
Phone
(260) 483-3169

Other names

  • Medicine Chest

About Creative Compounding Solutions LLC

Creative Compounding Solutions LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 2803 E State Blvd, Fort Wayne, IN 46805-4732. The NPI number 1124170014 was assigned on January 18, 2007 and the record was last updated on July 19, 2018.

Creative Compounding Solutions LLC lists a license in the registry: #60002334A (IN) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Andrew Campbell, Owner.

Frequently asked questions

What is the NPI number of Creative Compounding Solutions LLC?

The NPI number is 1124170014.

What is the phone number of Creative Compounding Solutions LLC?

The phone number listed for the practice location is (260) 483-3169.

Where is Creative Compounding Solutions LLC located?

2803 E State Blvd, Fort Wayne, IN 46805-4732.

What is the taxonomy code for Creative Compounding Solutions LLC?

The primary taxonomy code is 3336C0004X – Compounding Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.